MALENA PANNHANOUVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219037

License Status

NOT RENEWED

Business

First Name

MALENA

Last Name

PANNHANOUVONG

Prefix

Business Name

MALENA PANNHANOUVONG

Original Issue Date

06/27/2013

Effective Date

06/27/2013

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2014