SUSIE H PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173836

License Status

NOT RENEWED

Business

First Name

SUSIE

Middle

Last Name

PHAM

Business Name

SUSIE H PHAM

Original Issue Date

01/23/2007

Effective Date

03/09/2010

Expiration Date

03/31/2011

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/12/2011