MIRANDA PHUONG NGO - Pharmacist License in Illinois | # 051302078

MIRANDA PHUONG NGO

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302078

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

03/30/2026