SENGTIENE SIHARAT - Pharmacist License in Illinois | # 049104103

SENGTIENE SIHARAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104103

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005