SUPAKIT WONGWIWATTHANANUKIT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109943

License Status

NOT RENEWED

Business

First Name

SUPAKIT

Last Name

WONGWIWATTHANANUKIT

Business Name

SUPAKIT WONGWIWATTHANANUKIT

Original Issue Date

03/29/1995

Effective Date

03/29/1995

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005