License holder summary

Siphone Boualavong is a Pharmacy - Pharmacist Intern licensed to practice in Colorado. The address on file for Siphone Boualavong is 833 ELM ST #2, FT COLLINS, CO, 80521-0521. This licensed professional license is not current. The license was granted 03/21/2001 and expired on 08/31/2002.

Colorado

Division of Professions and Occupations

Siphone Boualavong
Pharmacy - Pharmacist Intern
License number
2001064
Date granted
03/21/2001
Date expires
08/31/2002
Class
Pharmacy - Pharmacist Intern
Status
Expired
Address
833 ELM ST #2, FT COLLINS, CO, 80521-0521
coloradolicensing.org
ID 28199523
LAST UPDATED 2024-06-27 17:06:11 UTC

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