ANITA SOUVANH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286753

License Status

NOT RENEWED

Business

First Name

ANITA

Last Name

SOUVANH

Business Name

ANITA SOUVANH

Original Issue Date

10/23/2021

Effective Date

03/27/2024

Expiration Date

03/31/2025

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

07/08/2025