DOME MONGKOLPRADIT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136619

License Status

NOT RENEWED

Business

First Name

DOME

Last Name

MONGKOLPRADIT

Business Name

DOME MONGKOLPRADIT

Original Issue Date

06/07/2001

Effective Date

06/07/2001

Expiration Date

03/31/2006

City

SKOKIE

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006