SOMKOUM BACCAM - Pharmacist License in Illinois | # 049103751

SOMKOUM BACCAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103751

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005