CHRISTOPHER S VANMANIVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206601

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

VANMANIVONG

Prefix

Business Name

CHRISTOPHER S VANMANIVONG

Original Issue Date

09/12/2011

Effective Date

03/14/2019

Expiration Date

09/30/2020

City

CHERRY VALLEY

State

Zip

61016

County

BOONE

Ever Disciplined

LastModifiedDate

01/08/2021