THIENAN N PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191528

License Status

NOT RENEWED

Business

First Name

THIENAN

Middle

Last Name

PHAM

Business Name

THIENAN N PHAM

Original Issue Date

05/07/2009

Effective Date

01/20/2015

Expiration Date

03/31/2016

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016