THOMAS T KEOHAVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160668

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

KEOHAVONG

Business Name

THOMAS T KEOHAVONG

Original Issue Date

04/28/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008