ETHAN SIRIUS WONG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049311264

License Status

INACTIVE

Business

First Name

ETHAN

Middle

SIRIUS

Last Name

WONG

Business Name

ETHAN SIRIUS WONG

Original Issue Date

04/09/2024

Effective Date

03/25/2025

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

08/14/2025