SENGCHANH B INTHISACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111186

License Status

NOT RENEWED

Business

First Name

SENGCHANH B

Last Name

INTHISACK

Business Name

SENGCHANH B INTHISACK

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

03/31/1996

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005