THISADY TOM KHATHAKHANTHAPHIXAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252946

License Status

NOT RENEWED

Business

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

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019