NGOC TRAI T PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126406

License Status

NOT RENEWED

Business

First Name

NGOC TRAI

Middle

Last Name

PHAN

Business Name

NGOC TRAI T PHAN

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005