AMPAN PARICHARDSOMBUD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064546

License Status

NOT RENEWED

Business

First Name

AMPAN

Last Name

PARICHARDSOMBUD

Business Name

AMPAN PARICHARDSOMBUD

Original Issue Date

12/05/1975

Effective Date

12/05/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005