NITDAH ALONYA PHOMMASONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049302285

License Status

NOT RENEWED

Business

First Name

NITDAH

Middle

ALONYA

Last Name

PHOMMASONE

Business Name

NITDAH ALONYA PHOMMASONE

Original Issue Date

05/10/2023

Effective Date

05/10/2023

Expiration Date

03/31/2024

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

01/03/2025