VASANA LERDVORATAVEE OD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085396

License Status

NOT RENEWED

Business

First Name

VASANA

Last Name

LERDVORATAVEE

Suffix

Business Name

VASANA LERDVORATAVEE OD

Original Issue Date

10/15/1987

Effective Date

10/15/1987

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005