JULIE MOUNIVONG PHONTHIBSVADS Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143062

License Status

ACTIVE

Business

First Name

JULIE

Last Name

MOUNIVONG PHONTHIBSVADS

Business Name

JULIE MOUNIVONG PHONTHIBSVADS

Original Issue Date

06/10/2002

Effective Date

03/19/2026

Expiration Date

03/31/2027

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

03/19/2026