PETER PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142819

License Status

NOT RENEWED

Business

First Name

PETER

Last Name

PHAM

Business Name

PETER PHAM

Original Issue Date

05/31/2002

Effective Date

05/31/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005