SENGMONH THAMMAVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127319

License Status

NOT RENEWED

Business

First Name

SENGMONH

Last Name

THAMMAVONG

Business Name

SENGMONH THAMMAVONG

Original Issue Date

09/07/1999

Effective Date

09/07/1999

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005