NAIYANA EURSIRIWAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068255

License Status

NOT RENEWED

Business

First Name

NAIYANA

Last Name

EURSIRIWAN

Business Name

NAIYANA EURSIRIWAN

Original Issue Date

10/14/1977

Effective Date

10/14/1977

Expiration Date

03/31/1986

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005