SONG-CHA CHANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287427

License Status

NOT RENEWED

Business

First Name

SONG-CHA

Last Name

CHANG

Business Name

SONG-CHA CHANG

Original Issue Date

10/07/1999

Effective Date

10/07/1999

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005