PIYANUD TIPSOMBUDBOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113448

License Status

NOT RENEWED

Business

First Name

PIYANUD

Last Name

TIPSOMBUDBOON

Business Name

PIYANUD TIPSOMBUDBOON

Original Issue Date

02/17/1996

Effective Date

02/17/1996

Expiration Date

03/31/1997

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005