NATALEE PON VONGPHAKDY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123549

License Status

NOT RENEWED

Business

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

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

01/08/2021