PATCHANEE TEABTRONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066440

License Status

NOT RENEWED

Business

First Name

PATCHANEE

Last Name

TEABTRONG

Business Name

PATCHANEE TEABTRONG

Original Issue Date

11/12/1976

Effective Date

11/12/1976

Expiration Date

03/31/1991

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005