NATALEE PON VONGPHAKDY - Pharmacist License in Illinois | # 049123549

NATALEE PON VONGPHAKDY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123549

License Status

NOT RENEWED

Business

N

First Name

NATALEE

Middle

PON

Last Name

VONGPHAKDY

Business Name

NATALEE PON VONGPHAKDY

Original Issue Date

10/30/1998

Effective Date

03/06/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021