AMY PHAN NGUYEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155148

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005