PHAVANNA N SIHARATH - Pharmacist License in Illinois | # 049091542

PHAVANNA N SIHARATH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091542

License Status

NOT RENEWED

Business

N

First Name

PHAVANNA N

Last Name

SIHARATH

Business Name

PHAVANNA N SIHARATH

Original Issue Date

10/31/1989

Effective Date

02/22/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011