VONEMANY THEPHAVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141116

License Status

NOT RENEWED

Business

First Name

VONEMANY

Last Name

THEPHAVONG

Business Name

VONEMANY THEPHAVONG

Original Issue Date

03/01/2002

Effective Date

03/01/2002

Expiration Date

03/31/2003

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005