MARIBELLE R VASAVANONT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149074

License Status

NOT RENEWED

Business

First Name

MARIBELLE

Middle

Last Name

VASAVANONT

Business Name

MARIBELLE R VASAVANONT

Original Issue Date

06/23/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008