LONG D PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270683

License Status

NOT RENEWED

Business

First Name

LONG

Middle

Last Name

PHAN

Business Name

LONG D PHAN

Original Issue Date

01/29/2020

Effective Date

03/22/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022