PRANOM CHONGRUKVANICH - Pharmacist License in North Carolina | # 051036775

PRANOM CHONGRUKVANICH

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036775

License Status

INACTIVE

Business

N

First Name

PRANOM

Last Name

CHONGRUKVANICH

Business Name

PRANOM CHONGRUKVANICH

Original Issue Date

10/15/1987

Effective Date

10/15/1987

Expiration Date

03/31/1990

State

NC

Ever Disciplined

N

LastModifiedDate

10/17/2005