VIENGSAMONE JULIE SENGSAMOUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288525

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006