LISA KEOVONGSACK - Pharmacist License in Kansas | # 049291261

LISA KEOVONGSACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291261

License Status

NOT RENEWED

Business

N

First Name

LISA

Last Name

KEOVONGSACK

Business Name

LISA KEOVONGSACK

Original Issue Date

03/10/2022

Effective Date

03/10/2022

Expiration Date

03/31/2023

State

KS

Ever Disciplined

N

LastModifiedDate

09/07/2023