AUDRA QUAN LY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254256

License Status

NOT RENEWED

Business

First Name

AUDRA

Middle

QUAN

Last Name

Business Name

AUDRA QUAN LY

Original Issue Date

11/07/2017

Effective Date

03/08/2018

Expiration Date

03/31/2019

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019