Phuong Phan
ExpiredIllinois license 049212434
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049212434
- Status
- Expired (Not Renewed)
- First issued
- July 26, 2012
- Expired
- March 31, 2015
- License holder
- Phuong Phan
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/27/2014
Contact
Mount Carmel, IL 62863
Wabash County