TYSON SUNG PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157239

License Status

NOT RENEWED

Business

First Name

TYSON

Middle

SUNG

Last Name

PARK

Business Name

TYSON SUNG PARK

Original Issue Date

09/29/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BROOKLYN

State

Zip

11231

Ever Disciplined

LastModifiedDate

05/06/2009