RANDY M CHAN DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159512

License Status

NOT RENEWED

Business

Title

First Name

RANDY

Middle

Last Name

CHAN

Business Name

RANDY M CHAN DO

Original Issue Date

03/09/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/14/2007