PORNLERT THIENTANAVANICH - Pharmacist License in Illinois | # 049093917

PORNLERT THIENTANAVANICH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093917

License Status

NOT RENEWED

Business

N

First Name

PORNLERT

Last Name

THIENTANAVANICH

Business Name

PORNLERT THIENTANAVANICH

Original Issue Date

07/20/1990

Effective Date

07/20/1990

Expiration Date

03/31/1996

City

NORMAL

State

IL

Zip

61761

County

MCLEAN

Ever Disciplined

N

LastModifiedDate

07/17/2007