PHUNG MINH VAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154905

License Status

NOT RENEWED

Business

First Name

PHUNG

Middle

MINH

Last Name

VAN

Business Name

PHUNG MINH VAN

Original Issue Date

06/10/2004

Effective Date

06/10/2004

Expiration Date

03/31/2005

City

BRIDGEVIEW

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005