JARUWAN SUPASANGUAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071046

License Status

NOT RENEWED

Business

First Name

JARUWAN

Last Name

SUPASANGUAN

Business Name

JARUWAN SUPASANGUAN

Original Issue Date

04/20/1979

Effective Date

04/20/1979

Expiration Date

03/31/1982

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005