THIEN T THAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158420

License Status

NOT RENEWED

Business

First Name

THIEN

Middle

Last Name

THAN

Business Name

THIEN T THAN

Original Issue Date

12/16/2004

Effective Date

06/02/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015