ANTHONY PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114544

License Status

NOT RENEWED

Business

First Name

ANTHONY

Last Name

PHAN

Business Name

ANTHONY PHAN

Original Issue Date

07/10/1996

Effective Date

07/10/1996

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005