THAO PHUONG THU TRAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255582

License Status

NOT RENEWED

Business

First Name

THAO

Middle

PHUONG THU

Last Name

TRAN

Business Name

THAO PHUONG THU TRAN

Original Issue Date

01/17/2018

Effective Date

03/10/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

09/07/2023