License holder summary

ITSALEUMSACK , BOUNPHAMY T is a Department Of Health - Pharmacy Technician licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 09/04/2012 and expired on 09/30/2014.

Department of Health

Board of Medical Examiners

ITSALEUMSACK , BOUNPHAMY T
Department Of Health - Pharmacy Technician
License number
45102
Date granted
09/04/2012
Date expires
09/30/2014
Class
Department Of Health - Pharmacy Technician
Status
Expired
Address
medicaltn.com
ID 42296777
LAST UPDATED 2026-05-07 05:50:52 UTC

This website is unaffiliated with the Board of Medical Examiners. Please verify all information directly with the relevant official government authority.

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