PHONG H PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115794

License Status

NOT RENEWED

Business

First Name

PHONG

Middle

Last Name

PHAM

Business Name

PHONG H PHAM

Original Issue Date

10/30/1996

Effective Date

10/30/1996

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005