THAO PHUONG THU TRAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051305254

License Status

NOT RENEWED

Business

First Name

THAO

Middle

PHUONG THU

Last Name

TRAN

Business Name

THAO PHUONG THU TRAN

Original Issue Date

11/23/2022

Effective Date

11/23/2022

Expiration Date

03/31/2024

City

ROCKFORD

State

Zip

61108

Ever Disciplined

LastModifiedDate

02/05/2025