PORNTIP CHAIYAPERM - Pharmacist License in Illinois | # 049083425

PORNTIP CHAIYAPERM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083425

License Status

NOT RENEWED

Business

N

First Name

PORNTIP

Last Name

CHAIYAPERM

Business Name

PORNTIP CHAIYAPERM

Original Issue Date

10/08/1986

Effective Date

10/08/1986

Expiration Date

03/31/1996

City

CHICAGO

State

IL

Zip

60625

County

COOK

Ever Disciplined

N

LastModifiedDate

10/17/2005