Theresa T Phan
ExpiredIllinois license 049205114
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049205114
- Status
- Expired (Not Renewed)
- First issued
- July 5, 2011
- Expired
- March 31, 2014
- License holder
- Theresa T Phan
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/07/2013
Contact
Antioch, IL 60002
Lake County