License holder summary

KEOMOUKDA A RAJAVONG is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for KEOMOUKDA A RAJAVONG is BENSALEM PA 19020. This licensed professional license is current. The license was granted 11/28/2011 and expired on 09/30/2016.

Pennsylvania

Department of State

KEOMOUKDA A RAJAVONG
Pharmacy - Authorization to Administer Injectables
License number
RPI006032
Date granted
11/28/2011
Date expires
09/30/2016
Class
Pharmacy - Authorization to Administer Injectables
Status
Active
Address
BENSALEM PA 19020
palicensing.org
ID 17056685
LAST UPDATED 2024-04-01 06:16:49 UTC

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