TONY K SISOMBOUNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240553

License Status

NOT RENEWED

Business

First Name

TONY

Middle

Last Name

SISOMBOUNE

Business Name

TONY K SISOMBOUNE

Original Issue Date

03/29/2016

Effective Date

03/17/2017

Expiration Date

03/31/2018

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

06/19/2018