APAPAN WASANTATAS - Pharmacist License in Illinois | # 049062141

APAPAN WASANTATAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062141

License Status

NOT RENEWED

Business

N

First Name

APAPAN

Last Name

WASANTATAS

Business Name

APAPAN WASANTATAS

Original Issue Date

08/23/1974

Effective Date

08/23/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005