NATALIE DEE KHOTAVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148935

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

DEE

Last Name

KHOTAVONG

Business Name

NATALIE DEE KHOTAVONG

Original Issue Date

06/13/2003

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

NORTH AURORA

State

Zip

60542

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007