License holder summary

Phat Tan Phan is a Pharmacy - Pharmacy Intern licensed to practice in Massachusetts. The address on file for Phat Tan Phan is United States, Worcester 01605. This licensed professional license is not current. The license was granted 10/30/2015 and expired on 10/30/2020.

Massachusetts

Division of Professional Licensure

Phat Tan Phan
Pharmacy - Pharmacy Intern
License number
PI162503
Date granted
10/30/2015
Date expires
10/30/2020
Class
Pharmacy - Pharmacy Intern
Status
Current - pending SSN
Address
United States
licensingma.org
ID 38565661
LAST UPDATED 2026-04-30 17:55:18 UTC

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