DOME MONGKOLPRADIT - Pharmacist License in Illinois | # 049136619

DOME MONGKOLPRADIT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136619

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006