CHIRASAK EURSIRIWAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057449

License Status

CANCELLED

Business

First Name

CHIRASAK

Last Name

EURSIRIWAN

Business Name

CHIRASAK EURSIRIWAN

Original Issue Date

03/03/1972

Effective Date

03/03/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005