VIENGKHAM ANGELA INTHASACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288559

License Status

NOT RENEWED

Business

First Name

VIENGKHAM

Middle

ANGELA

Last Name

INTHASACK

Business Name

VIENGKHAM ANGELA INTHASACK

Original Issue Date

12/01/2021

Effective Date

02/06/2024

Expiration Date

03/31/2025

City

BARTLETT

State

Zip

60103

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/08/2025