GWEN HOANG PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174632

License Status

NOT RENEWED

Business

First Name

GWEN

Middle

HOANG

Last Name

PHAM

Business Name

GWEN HOANG PHAM

Original Issue Date

03/05/2007

Effective Date

03/19/2013

Expiration Date

03/31/2014

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014