WINA KOMUTANON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124345

License Status

NOT RENEWED

Business

First Name

WINA

Last Name

KOMUTANON

Business Name

WINA KOMUTANON

Original Issue Date

12/30/1998

Effective Date

12/30/1998

Expiration Date

03/31/2001

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005