BUNNAROSE ADA HERUNTERAPOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145309

License Status

NOT RENEWED

Business

First Name

BUNNAROSE

Middle

ADA

Last Name

HERUNTERAPOL

Business Name

BUNNAROSE ADA HERUNTERAPOL

Original Issue Date

10/16/2002

Effective Date

10/16/2002

Expiration Date

03/31/2005

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005