PHUONG PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212434

License Status

NOT RENEWED

Business

First Name

PHUONG

Last Name

PHAN

Prefix

Business Name

PHUONG PHAN

Original Issue Date

07/26/2012

Effective Date

03/27/2014

Expiration Date

03/31/2015

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

05/11/2015