AN PHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136292

License Status

NOT RENEWED

Business

First Name

Last Name

PHAN

Business Name

AN PHAN

Original Issue Date

05/15/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

NOBLESVILLE

State

Zip

46062

Ever Disciplined

LastModifiedDate

05/02/2008