PARIYA TANTIPATHANANANDH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072098

License Status

NOT RENEWED

Business

First Name

PARIYA

Last Name

TANTIPATHANANANDH

Business Name

PARIYA TANTIPATHANANANDH

Original Issue Date

11/01/1979

Effective Date

02/14/2017

Expiration Date

03/31/2018

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018