TERAPON KIETSURANON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075412

License Status

NOT RENEWED

Business

First Name

TERAPON

Last Name

KIETSURANON

Business Name

TERAPON KIETSURANON

Original Issue Date

10/02/1981

Effective Date

10/02/1981

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005