JACQUELINE T PHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292106

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

PHAM

Business Name

JACQUELINE T PHAM

BusinessDBA

PHAM

Original Issue Date

09/05/2007

Effective Date

02/16/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012