BUSAKORN NAKSONG SRISAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101009

License Status

NOT RENEWED

Business

First Name

BUSAKORN

Middle

NAKSONG

Last Name

SRISAK

Business Name

BUSAKORN NAKSONG SRISAK

Original Issue Date

08/14/1992

Effective Date

08/14/1992

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005