SINPRASATH PHENGSOMPHONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099487

License Status

NOT RENEWED

Business

First Name

SINPRASATH

Last Name

PHENGSOMPHONE

Business Name

SINPRASATH PHENGSOMPHONE

Original Issue Date

02/26/1992

Effective Date

02/26/1992

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005