NADIA PHOUPHOMMAKHITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273514

License Status

NOT RENEWED

Business

First Name

NADIA

Last Name

PHOUPHOMMAKHITH

Business Name

NADIA PHOUPHOMMAKHITH

Original Issue Date

05/29/2020

Effective Date

05/29/2020

Expiration Date

03/31/2021

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021