THONGSOUK THAMMARATH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121306

License Status

NOT RENEWED

Business

First Name

THONGSOUK

Last Name

THAMMARATH

Business Name

THONGSOUK THAMMARATH

Original Issue Date

06/04/1998

Effective Date

06/04/1998

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005