MONICA PHETTA-KEOMANIWONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092231

License Status

NOT RENEWED

Business

First Name

MONICA

Last Name

PHETTA-KEOMANIWONG

Business Name

MONICA PHETTA-KEOMANIWONG

Original Issue Date

02/06/1990

Effective Date

02/06/1990

Expiration Date

03/31/1991

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/17/2005