MAXON SOUVANNASING - Pharmacist License in Illinois | # 049205155

MAXON SOUVANNASING

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205155

License Status

NOT RENEWED

Business

N

First Name

MAXON

Last Name

SOUVANNASING

Business Name

MAXON SOUVANNASING

Original Issue Date

07/06/2011

Effective Date

02/25/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017