License holder summary

Thongkham Bousim is a Pharmacy Technician In-Training licensed to practice in Indiana. The address on file for Thongkham Bousim is Fort Wayne IN 46806. This licensed professional license is not current. The license was granted 07/13/2004 and expired on 07/13/2005.

Indiana

Professional Licensing Agency

Thongkham Bousim
Pharmacy Technician In-Training
License number
99013459A
Date granted
07/13/2004
Date expires
07/13/2005
Class
Pharmacy Technician In-Training
Status
Expired
Address
Fort Wayne IN 46806
indianalicensing.org
ID 8317912
LAST UPDATED 2024-03-09 22:09:54 UTC

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