MICHELLE JACKLYN PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132396

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

JACKLYN

Last Name

PHAN

Business Name

MICHELLE JACKLYN PHAN

Original Issue Date

08/29/2000

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007