JORDAN VAN PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294174

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

VAN

Last Name

PHAN

Business Name

JORDAN VAN PHAN

Original Issue Date

07/15/2022

Effective Date

02/28/2023

Expiration Date

03/31/2024

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/03/2025