PIYAMAS LERDVORATAVEE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089446

License Status

NOT RENEWED

Business

First Name

PIYAMAS

Last Name

LERDVORATAVEE

Business Name

PIYAMAS LERDVORATAVEE

Original Issue Date

04/01/1989

Effective Date

04/01/1989

Expiration Date

03/31/1994

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

10/17/2005