AOUMPORN ANUNTALABHOCHAI - Pharmacist License in Illinois | # 049062752

AOUMPORN ANUNTALABHOCHAI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062752

License Status

NOT RENEWED

Business

N

First Name

AOUMPORN

Last Name

ANUNTALABHOCHAI

Business Name

AOUMPORN ANUNTALABHOCHAI

Original Issue Date

01/03/1975

Effective Date

01/03/1975

Expiration Date

01/01/1997

City

DES PLAINES

State

IL

Zip

60016

County

COOK

Ever Disciplined

N

LastModifiedDate

10/17/2005