ANGELINE TRACY SOUVANNASING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214663

License Status

NOT RENEWED

Business

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

City

NORTH AURORA

State

Zip

60542

County

KANE

Ever Disciplined

LastModifiedDate

06/19/2018