AMY PHAN NGUYEN - Pharmacist License in Illinois | # 049155148

AMY PHAN NGUYEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155148

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

PHAN

Last Name

NGUYEN

Business Name

AMY PHAN NGUYEN

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005