ANA CHAMPANAKHONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280549

License Status

NOT RENEWED

Business

First Name

ANA

Last Name

CHAMPANAKHONE

Business Name

ANA CHAMPANAKHONE

Original Issue Date

03/22/2021

Effective Date

02/05/2023

Expiration Date

03/31/2024

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/03/2025