JENNIE CHANSOMPHOU - Pharmacist License in Illinois | # 049146636

JENNIE CHANSOMPHOU

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146636

License Status

NOT RENEWED

Business

N

First Name

JENNIE

Last Name

CHANSOMPHOU

Business Name

JENNIE CHANSOMPHOU

Original Issue Date

01/08/2003

Effective Date

01/08/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005