GINA PHILAVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231958

License Status

NOT RENEWED

Business

First Name

GINA

Last Name

PHILAVONG

Prefix

Business Name

GINA PHILAVONG

Original Issue Date

03/26/2015

Effective Date

03/26/2015

Expiration Date

03/31/2016

City

ELGIN

State

Zip

60120

Ever Disciplined

LastModifiedDate

05/20/2016