STEPHEN V SOPHANAYONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216751

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

SOPHANAYONG

Business Name

STEPHEN V SOPHANAYONG

Original Issue Date

03/26/2013

Effective Date

03/26/2013

Expiration Date

03/31/2014

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2014