MANIROT R VONGKHOUNETHED Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155027

License Status

ACTIVE

Business

First Name

MANIROT

Middle

Last Name

VONGKHOUNETHED

Business Name

MANIROT R VONGKHOUNETHED

Original Issue Date

06/11/2004

Effective Date

02/25/2026

Expiration Date

03/31/2027

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/25/2026