PHUPHING VATANAKORN - Pharmacist License in Illinois | # 049135115

PHUPHING VATANAKORN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135115

License Status

NOT RENEWED

Business

N

First Name

PHUPHING

Last Name

VATANAKORN

Business Name

PHUPHING VATANAKORN

Original Issue Date

03/13/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007