SUPARP SOMSOOK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072977

License Status

NOT RENEWED

Business

First Name

SUPARP

Last Name

SOMSOOK

Business Name

SUPARP SOMSOOK

Original Issue Date

05/16/1980

Effective Date

05/16/1980

Expiration Date

03/31/1982

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005