ALAN DATHA TIENG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162121

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

DATHA

Last Name

TIENG

Business Name

ALAN DATHA TIENG

Original Issue Date

07/07/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008