MIRANDA PHUONG NGO Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302078

License Status

ACTIVE

Business

First Name

MIRANDA

Middle

PHUONG

Last Name

NGO

Business Name

MIRANDA PHUONG NGO

Original Issue Date

05/22/2019

Effective Date

03/28/2024

Expiration Date

03/31/2026

City

WAYNE

State

Zip

60184

County

INDIANA

Ever Disciplined

LastModifiedDate

01/30/2026