SUPHAT SUBONGKOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121864

License Status

NOT RENEWED

Business

First Name

SUPHAT

Last Name

SUBONGKOT

Business Name

SUPHAT SUBONGKOT

Original Issue Date

07/06/1998

Effective Date

07/06/1998

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005