NAIYANA EURSIRIWAN - Pharmacist License in Illinois | # 049068255

NAIYANA EURSIRIWAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068255

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005