PEERAMET SIMPLIPHANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113272

License Status

NOT RENEWED

Business

First Name

PEERAMET

Last Name

SIMPLIPHANT

Business Name

PEERAMET SIMPLIPHANT

Original Issue Date

02/01/1996

Effective Date

02/01/1996

Expiration Date

03/31/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005