ROGER B THONGSAMOUTH - Pharmacist License in Illinois | # 049170103

ROGER B THONGSAMOUTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170103

License Status

NOT RENEWED

Business

N

First Name

ROGER

Middle

B

Last Name

THONGSAMOUTH

Business Name

ROGER B THONGSAMOUTH

Original Issue Date

07/19/2006

Effective Date

04/03/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018