VICKY T PHAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302717

License Status

ACTIVE

Business

First Name

VICKY

Middle

Last Name

PHAN

Business Name

VICKY T PHAN

Original Issue Date

11/04/2019

Effective Date

03/05/2026

Expiration Date

03/31/2028

City

PEORIA

State

Zip

61615

Ever Disciplined

LastModifiedDate

03/05/2026