MARNY THAVISOUK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205723

License Status

ACTIVE

Business

First Name

MARNY

Last Name

THAVISOUK

Business Name

MARNY THAVISOUK

Original Issue Date

08/01/2011

Effective Date

02/16/2026

Expiration Date

03/31/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/16/2026