NAN KHAC LY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144105

License Status

NOT RENEWED

Business

First Name

NAN

Middle

KHAC

Last Name

Business Name

NAN KHAC LY

Original Issue Date

08/13/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007