NGOC TRAI T PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287742

License Status

NOT RENEWED

Business

First Name

NGOC TRAI

Middle

Last Name

PHAN

Business Name

NGOC TRAI T PHAN

Original Issue Date

08/09/2000

Effective Date

08/09/2000

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005