IN PYO PETER PARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051294341

License Status

NOT RENEWED

Business

First Name

IN PYO

Middle

PETER

Last Name

PARK

Business Name

IN PYO PETER PARK

Original Issue Date

07/22/2010

Effective Date

03/26/2020

Expiration Date

07/31/2022

City

FAIRFAX

State

Zip

22030

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/14/2022