MANTHINH KINGSAVANH - Pharmacist License in Illinois | # 049263484

MANTHINH KINGSAVANH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263484

License Status

NOT RENEWED

Business

N

First Name

MANTHINH

Last Name

KINGSAVANH

Business Name

MANTHINH KINGSAVANH

Original Issue Date

02/20/2019

Effective Date

02/20/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021