LISA KEOVONGSACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291261

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

KEOVONGSACK

Business Name

LISA KEOVONGSACK

Original Issue Date

03/10/2022

Effective Date

03/10/2022

Expiration Date

03/31/2023

City

KANSAS CITY

State

Zip

66101

Ever Disciplined

LastModifiedDate

09/07/2023