BAKANA PHONGI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154521

License Status

NOT RENEWED

Business

First Name

BAKANA

Last Name

PHONGI

Business Name

BAKANA PHONGI

Original Issue Date

05/21/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2009