SAMRUAY DEEMUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153686

License Status

NOT RENEWED

Business

First Name

SAMRUAY

Last Name

DEEMUN

Business Name

SAMRUAY DEEMUN

Original Issue Date

03/15/2004

Effective Date

03/15/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006