PAUL PHONGSAVANH OUANKEO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146262

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

PHONGSAVANH

Last Name

OUANKEO

Business Name

PAUL PHONGSAVANH OUANKEO

Original Issue Date

12/06/2002

Effective Date

03/14/2013

Expiration Date

03/31/2014

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014