KEVIN T PHUNG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206782

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

PHUNG

Prefix

Business Name

KEVIN T PHUNG

Original Issue Date

09/19/2011

Effective Date

02/12/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60625

Ever Disciplined

LastModifiedDate

07/20/2021