PRANEE CHAYASRIWONG Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073628

License Status

CANCELLED

Business

First Name

PRANEE

Last Name

CHAYASRIWONG

Business Name

PRANEE CHAYASRIWONG

Original Issue Date

10/03/1980

Effective Date

10/03/1980

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005