CHINTANA PUANGSUVAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069743

License Status

NOT RENEWED

Business

First Name

CHINTANA

Last Name

PUANGSUVAN

Business Name

CHINTANA PUANGSUVAN

Original Issue Date

07/14/1978

Effective Date

07/14/1978

Expiration Date

01/01/1997

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

10/17/2005