THERESA T PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205114

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

PHAN

Business Name

THERESA T PHAN

Original Issue Date

07/05/2011

Effective Date

01/07/2013

Expiration Date

03/31/2014

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014