HARRY H S FONG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030159

License Status

INACTIVE

Business

First Name

HARRY H S

Last Name

FONG

Business Name

HARRY H S FONG

Original Issue Date

08/13/1974

Effective Date

08/13/1974

Expiration Date

03/31/1998

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005