MAI-PHUONG THI LE MASKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126642

License Status

NOT RENEWED

Business

First Name

MAI-PHUONG

Middle

THI

Last Name

LE MASKE

Business Name

MAI-PHUONG THI LE MASKE

Original Issue Date

07/08/1999

Effective Date

07/08/1999

Expiration Date

03/31/2003

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005