SIBANGONE M VONGVILAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138986

License Status

NOT RENEWED

Business

First Name

SIBANGONE

Middle

Last Name

VONGVILAY

Business Name

SIBANGONE M VONGVILAY

Original Issue Date

11/01/2001

Effective Date

11/01/2001

Expiration Date

03/31/2003

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005