THANYAPORN THREERAWANKONGSIRI - Pharmacist License in Illinois | # 049099881

THANYAPORN THREERAWANKONGSIRI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099881

License Status

NOT RENEWED

Business

N

First Name

THANYAPORN

Last Name

THREERAWANKONGSIRI

Business Name

THANYAPORN THREERAWANKONGSIRI

Original Issue Date

04/15/1992

Effective Date

04/15/1992

Expiration Date

03/31/1993

City

SPRINGFIELD

State

IL

Zip

62702

County

SANGAMON

Ever Disciplined

N

LastModifiedDate

10/17/2005