JUSTINE P PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228375

License Status

NOT RENEWED

Business

First Name

JUSTINE

Middle

Last Name

PHAM

Business Name

JUSTINE P PHAM

Original Issue Date

10/08/2014

Effective Date

03/12/2018

Expiration Date

03/31/2019

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019