KHANH THI PHUONG DUONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266938

License Status

NOT RENEWED

Business

First Name

KHANH

Middle

THI PHUONG

Last Name

DUONG

Business Name

KHANH THI PHUONG DUONG

Original Issue Date

07/29/2019

Effective Date

07/29/2019

Expiration Date

09/30/2020

City

WEST LAFAYETTE

State

Zip

47906

Ever Disciplined

LastModifiedDate

01/08/2021