TOMY GNAIMVONGSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241636

License Status

NOT RENEWED

Business

First Name

TOMY

Last Name

GNAIMVONGSA

Prefix

Business Name

TOMY GNAIMVONGSA

Original Issue Date

05/03/2016

Effective Date

05/03/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017