NARONG KOVATHANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061527

License Status

NOT RENEWED

Business

First Name

NARONG

Last Name

KOVATHANA

Business Name

NARONG KOVATHANA

Original Issue Date

05/24/1974

Effective Date

05/24/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005