PORNPHAN SIRIPRAKOB - Pharmacist License in Illinois | # 049085294

PORNPHAN SIRIPRAKOB

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085294

License Status

NOT RENEWED

Business

N

First Name

PORNPHAN

Last Name

SIRIPRAKOB

Business Name

PORNPHAN SIRIPRAKOB

Original Issue Date

09/25/1987

Effective Date

09/25/1987

Expiration Date

03/31/1989

City

RED BUD

State

IL

Zip

62278

County

RANDOLPH

Ever Disciplined

N

LastModifiedDate

10/17/2005