MARIBELLE R VASAVANONT - Pharmacist License in Illinois | # 049149074

MARIBELLE R VASAVANONT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149074

License Status

NOT RENEWED

Business

N

First Name

MARIBELLE

Middle

R

Last Name

VASAVANONT

Business Name

MARIBELLE R VASAVANONT

Original Issue Date

06/23/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008