TOMY GNAIMVONGSA - Pharmacist License in Illinois | # 049241636

TOMY GNAIMVONGSA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241636

License Status

NOT RENEWED

Business

N

First Name

TOMY

Last Name

GNAIMVONGSA

Prefix

MR

Business Name

TOMY GNAIMVONGSA

Original Issue Date

05/03/2016

Effective Date

05/03/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017