RON KONGSANGOBSAKUL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156169

License Status

NOT RENEWED

Business

First Name

RON

Last Name

KONGSANGOBSAKUL

Business Name

RON KONGSANGOBSAKUL

Original Issue Date

07/26/2004

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011