VIVA T PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220532

License Status

NOT RENEWED

Business

First Name

VIVA

Middle

Last Name

PHAM

Business Name

VIVA T PHAM

Original Issue Date

09/03/2013

Effective Date

03/01/2017

Expiration Date

03/31/2018

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018