SURASSAWADEE SUNTHARASAJ - Pharmacist License in Illinois | # 049117357

SURASSAWADEE SUNTHARASAJ

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117357

License Status

NOT RENEWED

Business

N

First Name

SURASSAWADEE

Last Name

SUNTHARASAJ

Business Name

SURASSAWADEE SUNTHARASAJ

Original Issue Date

04/24/1997

Effective Date

04/24/1997

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005