PHORNICHA VIENGNAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216366

License Status

NOT RENEWED

Business

First Name

PHORNICHA

Last Name

VIENGNAK

Business Name

PHORNICHA VIENGNAK

Original Issue Date

03/04/2013

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015