SOUKSANH KAYASITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238778

License Status

NOT RENEWED

Business

First Name

SOUKSANH

Last Name

KAYASITH

Business Name

SOUKSANH KAYASITH

Original Issue Date

01/08/2016

Effective Date

03/13/2017

Expiration Date

03/31/2018

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

06/19/2018