GABRIEL CHANTHALANGSY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295267

License Status

NOT RENEWED

Business

First Name

GABRIEL

Last Name

CHANTHALANGSY

Business Name

GABRIEL CHANTHALANGSY

Original Issue Date

08/25/2022

Effective Date

08/25/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023