KETKANOK M KONGPECH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139733

License Status

NOT RENEWED

Business

First Name

KETKANOK

Middle

Last Name

KONGPECH

Business Name

KETKANOK M KONGPECH

Original Issue Date

12/31/2001

Effective Date

12/31/2001

Expiration Date

03/31/2003

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005