CHIN SUP PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171909

License Status

NOT RENEWED

Business

First Name

CHIN

Middle

SUP

Last Name

PARK

Business Name

CHIN SUP PARK

Original Issue Date

10/12/2006

Effective Date

03/21/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012