SARAH BOPHA SAYAVONG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192741

License Status

INACTIVE

Business

First Name

SARAH

Middle

BOPHA

Last Name

SAYAVONG

Business Name

SARAH BOPHA SAYAVONG

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

03/31/2010

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/12/2010