NICOLE E SAYAVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216308

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SAYAVONG

Business Name

NICOLE E SAYAVONG

Original Issue Date

02/28/2013

Effective Date

04/01/2016

Expiration Date

03/31/2017

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/10/2017