KRISTINE M SIBOUNHEUANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100940

License Status

NOT RENEWED

Business

First Name

KRISTINE M

Last Name

SIBOUNHEUANG

Business Name

KRISTINE M SIBOUNHEUANG

Original Issue Date

08/10/1992

Effective Date

08/10/1992

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

10/17/2005