SOMKOUM BACCAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103751

License Status

NOT RENEWED

Business

First Name

SOMKOUM

Last Name

BACCAM

Business Name

SOMKOUM BACCAM

Original Issue Date

06/16/1993

Effective Date

06/16/1993

Expiration Date

03/31/1994

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005