ISAIAH KONGMANIVONG Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049325500

License Status

ACTIVE

Business

First Name

ISAIAH

Last Name

KONGMANIVONG

Business Name

ISAIAH KONGMANIVONG

Original Issue Date

11/04/2025

Effective Date

03/11/2026

Expiration Date

03/31/2027

City

WESTMONT

State

Zip

60559

County

ADAMS

Ever Disciplined

LastModifiedDate

03/11/2026