SONENALINH CHANTHAPHONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130167

License Status

NOT RENEWED

Business

First Name

SONENALINH

Last Name

CHANTHAPHONE

Business Name

SONENALINH CHANTHAPHONE

Original Issue Date

03/22/2000

Effective Date

03/22/2000

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005