JENNIE CHANSOMPHOU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146636

License Status

NOT RENEWED

Business

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

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005