AMPHONE KINGPHAVONG - Pharmacist License in Illinois | # 049214918

AMPHONE KINGPHAVONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214918

License Status

NOT RENEWED

Business

N

First Name

AMPHONE

Last Name

KINGPHAVONG

Business Name

AMPHONE KINGPHAVONG

Original Issue Date

12/06/2012

Effective Date

03/25/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016