K TIKI UTHAIVONGSAKDI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104315

License Status

NOT RENEWED

Business

First Name

Middle

TIKI

Last Name

UTHAIVONGSAKDI

Business Name

K TIKI UTHAIVONGSAKDI

Original Issue Date

08/23/1993

Effective Date

03/08/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019