SUPAVADEE RAECHAROEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140247

License Status

INACTIVE

Business

First Name

SUPAVADEE

Last Name

RAECHAROEN

Business Name

SUPAVADEE RAECHAROEN

Original Issue Date

01/18/2002

Effective Date

01/09/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2021