ANGELINE TRACY SOUVANNASING - Pharmacist License in Illinois | # 049214663

ANGELINE TRACY SOUVANNASING

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214663

License Status

NOT RENEWED

Business

N

First Name

ANGELINE

Middle

TRACY

Last Name

SOUVANNASING

Business Name

ANGELINE TRACY SOUVANNASING

Original Issue Date

11/21/2012

Effective Date

03/15/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018