PATRICIA V NOUCHANTHAVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125203

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

NOUCHANTHAVONG

Business Name

PATRICIA V NOUCHANTHAVONG

Original Issue Date

03/29/1999

Effective Date

02/24/2014

Expiration Date

03/31/2015

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/02/2026