CHAN PHUONG THI DUONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143054

License Status

NOT RENEWED

Business

First Name

CHAN

Middle

PHUONG THI

Last Name

DUONG

Business Name

CHAN PHUONG THI DUONG

Original Issue Date

06/10/2002

Effective Date

06/10/2002

Expiration Date

03/31/2006

City

MENOMONEE FALLS

State

Zip

53051

Ever Disciplined

LastModifiedDate

05/11/2006