BOUNNAO CHANTHADOUANGSY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146309

License Status

NOT RENEWED

Business

First Name

BOUNNAO

Last Name

CHANTHADOUANGSY

Business Name

BOUNNAO CHANTHADOUANGSY

Original Issue Date

12/11/2002

Effective Date

12/11/2002

Expiration Date

03/31/2006

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2006