SUREERAT SANGERN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154715

License Status

NOT RENEWED

Business

First Name

SUREERAT

Last Name

SANGERN

Business Name

SUREERAT SANGERN

Original Issue Date

06/02/2004

Effective Date

06/02/2004

Expiration Date

03/31/2006

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006