JENNIE THAMMAVONGSA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201594

License Status

ACTIVE

Business

First Name

JENNIE

Last Name

THAMMAVONGSA

Business Name

JENNIE THAMMAVONGSA

Original Issue Date

11/17/2010

Effective Date

02/08/2026

Expiration Date

03/31/2027

City

WHEATON

State

Zip

60189

Ever Disciplined

LastModifiedDate

02/08/2026