APICHAYA RAKTABUTR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105799

License Status

NOT RENEWED

Business

First Name

APICHAYA

Last Name

RAKTABUTR

Business Name

APICHAYA RAKTABUTR

Original Issue Date

01/26/1994

Effective Date

01/26/1994

Expiration Date

03/31/1996

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005