THISADY TOM KHATHAKHANTHAPHIXAY - Pharmacist License in Illinois | # 049252946

THISADY TOM KHATHAKHANTHAPHIXAY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252946

License Status

NOT RENEWED

Business

N

First Name

THISADY

Middle

TOM

Last Name

KHATHAKHANTHAPHIXAY

Business Name

THISADY TOM KHATHAKHANTHAPHIXAY

Original Issue Date

09/12/2017

Effective Date

04/10/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019