TARA LYNN KHOUNSANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261758

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LYNN

Last Name

KHOUNSANA

Business Name

TARA LYNN KHOUNSANA

Original Issue Date

12/03/2018

Effective Date

01/10/2020

Expiration Date

03/31/2021

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

07/20/2021