DAOTHIAM BOUNNAVONG - Pharmacist License in Illinois | # 049240773

DAOTHIAM BOUNNAVONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240773

License Status

NOT RENEWED

Business

N

First Name

DAOTHIAM

Last Name

BOUNNAVONG

Prefix

MR

Business Name

DAOTHIAM BOUNNAVONG

Original Issue Date

04/05/2016

Effective Date

03/28/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019