DAOTHIAM BOUNNAVONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240773

License Status

NOT RENEWED

Business

First Name

DAOTHIAM

Last Name

BOUNNAVONG

Prefix

Business Name

DAOTHIAM BOUNNAVONG

Original Issue Date

04/05/2016

Effective Date

03/28/2018

Expiration Date

03/31/2019

City

AURORA

State

Zip

60505

County

KANE

Ever Disciplined

LastModifiedDate

07/15/2019