MALAYTHIP ALEXIS CHITDAMRONG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115086

License Status

NOT RENEWED

Business

First Name

MALAYTHIP

Middle

ALEXIS

Last Name

CHITDAMRONG

Business Name

MALAYTHIP ALEXIS CHITDAMRONG

Original Issue Date

08/23/1996

Effective Date

08/23/1996

Expiration Date

03/31/1998

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005