SURASSAWADEE SUNTHARASAJ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117357

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005