MALAYTHIP ALEXIS CHITDAMRONG - Pharmacist License in Illinois | # 049115086

MALAYTHIP ALEXIS CHITDAMRONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115086

License Status

NOT RENEWED

Business

N

First Name

MALAYTHIP

Middle

ALEXIS

Last Name

CHITDAMRONG

Business Name

MALAYTHIP ALEXIS CHITDAMRONG

Original Issue Date

08/23/1996

Effective Date

08/23/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005