ETHAN SIRIUS WONG - Pharmacist License in Illinois | # 049311264

ETHAN SIRIUS WONG

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049311264

License Status

INACTIVE

Business

N

First Name

ETHAN

Middle

SIRIUS

Last Name

WONG

Business Name

ETHAN SIRIUS WONG

Original Issue Date

04/09/2024

Effective Date

03/25/2025

Expiration Date

03/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/14/2025