SOUPHONE RATTANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103807

License Status

NOT RENEWED

Business

First Name

SOUPHONE

Last Name

RATTANA

Business Name

SOUPHONE RATTANA

Original Issue Date

06/22/1993

Effective Date

06/22/1993

Expiration Date

03/31/2001

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/21/2005