LISA BAOLIEN PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123326

License Status

NOT RENEWED

Business

First Name

LISA

Middle

BAOLIEN

Last Name

PHAN

Business Name

LISA BAOLIEN PHAN

Original Issue Date

10/20/1998

Effective Date

10/20/1998

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005