XUAN-DAI VAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132826

License Status

NOT RENEWED

Business

First Name

XUAN-DAI

Last Name

VAN

Business Name

XUAN-DAI VAN

BusinessDBA

MEDPLUS PHARMACY

Original Issue Date

09/22/2000

Effective Date

01/30/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010