SOUPHAPHONE VONGPHAKDY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206894

License Status

NOT RENEWED

Business

First Name

SOUPHAPHONE

Last Name

VONGPHAKDY

Business Name

SOUPHAPHONE VONGPHAKDY

Original Issue Date

09/23/2011

Effective Date

09/23/2011

Expiration Date

03/31/2012

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

05/07/2012