PAVEENA SONTHISOMBAT - Pharmacist License in Illinois | # 049109788

PAVEENA SONTHISOMBAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109788

License Status

NOT RENEWED

Business

N

First Name

PAVEENA

Last Name

SONTHISOMBAT

Business Name

PAVEENA SONTHISOMBAT

Original Issue Date

03/13/1995

Effective Date

03/13/1995

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005