TRI TAT PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076132

License Status

NOT RENEWED

Business

First Name

TRI TAT

Last Name

PHAN

Business Name

TRI TAT PHAN

Original Issue Date

03/05/1982

Effective Date

03/05/1982

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005