PATCHANEE TEABTRONG - Pharmacist License in Illinois | # 049066440

PATCHANEE TEABTRONG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066440

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005