VISANU SRISAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145447

License Status

NOT RENEWED

Business

First Name

VISANU

Last Name

SRISAK

Business Name

VISANU SRISAK

Original Issue Date

10/22/2002

Effective Date

10/22/2002

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005