TAM PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116684

License Status

NOT RENEWED

Business

First Name

TAM

Last Name

PHAN

Business Name

TAM PHAN

Original Issue Date

03/05/1997

Effective Date

03/05/1997

Expiration Date

03/31/1999

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005