NATTA SUPHAKAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128490

License Status

ACTIVE

Business

First Name

NATTA

Last Name

SUPHAKAN

Business Name

NATTA SUPHAKAN

Original Issue Date

12/07/1999

Effective Date

03/03/2026

Expiration Date

03/31/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2026