KHENSIRIN CHOODAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154604

License Status

NOT RENEWED

Business

First Name

KHENSIRIN

Last Name

CHOODAM

Business Name

KHENSIRIN CHOODAM

Original Issue Date

05/27/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009