NUSSORN RAPIPONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067672

License Status

NOT RENEWED

Business

First Name

NUSSORN

Last Name

RAPIPONG

Business Name

NUSSORN RAPIPONG

Original Issue Date

07/01/1977

Effective Date

07/01/1977

Expiration Date

03/31/1982

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005