KATHY MAOKHAMPHIOU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153478

License Status

NOT RENEWED

Business

First Name

KATHY

Last Name

MAOKHAMPHIOU

Business Name

KATHY MAOKHAMPHIOU

Original Issue Date

03/05/2004

Effective Date

03/05/2004

Expiration Date

03/31/2005

City

ELGIN

State

Zip

60120

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005