KEVIN S XOUNHAVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229187

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

XOUNHAVONG

Prefix

Business Name

KEVIN S XOUNHAVONG

Original Issue Date

11/12/2014

Effective Date

03/14/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017