AMY W PENG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032420

License Status

NOT RENEWED

Business

First Name

AMY W

Last Name

PENG

Business Name

AMY W PENG

Original Issue Date

09/13/1978

Effective Date

09/13/1978

Expiration Date

03/31/1986

City

WOODRIDGE

State

Zip

60517

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005