VIENGSAMONE JULIE SENGSAMOUTH - Pharmacist License in Illinois | # 051288525

VIENGSAMONE JULIE SENGSAMOUTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288525

License Status

NOT RENEWED

Business

N

First Name

VIENGSAMONE

Middle

JULIE

Last Name

SENGSAMOUTH

Business Name

VIENGSAMONE JULIE SENGSAMOUTH

Original Issue Date

09/21/2001

Effective Date

03/31/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006