ALLEN PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153789

License Status

NOT RENEWED

Business

First Name

ALLEN

Last Name

PHAM

Business Name

ALLEN PHAM

Original Issue Date

03/19/2004

Effective Date

03/19/2004

Expiration Date

03/31/2005

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005