KHAMILLE L PHOUTHAVONG SPENCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195127

License Status

NOT RENEWED

Business

First Name

KHAMILLE

Middle

Last Name

PHOUTHAVONG SPENCE

Prefix

Business Name

KHAMILLE L PHOUTHAVONG SPENCE

Original Issue Date

11/02/2009

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/06/2013