MAXON SOUVANNASING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205155

License Status

NOT RENEWED

Business

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

City

NORTH AURORA

State

Zip

60542

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2017