SENGTIENE SIHARAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104103

License Status

NOT RENEWED

Business

First Name

SENGTIENE

Last Name

SIHARAT

Business Name

SENGTIENE SIHARAT

Original Issue Date

07/28/1993

Effective Date

07/28/1993

Expiration Date

03/31/1996

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005