CHUDCHADA J LAKSANAPROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112925

License Status

NOT RENEWED

Business

First Name

CHUDCHADA J

Last Name

LAKSANAPROM

Business Name

CHUDCHADA J LAKSANAPROM

Original Issue Date

01/03/1996

Effective Date

01/03/1996

Expiration Date

03/31/1997

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005