JIRAPA SUWANSANYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156254

License Status

NOT RENEWED

Business

First Name

JIRAPA

Last Name

SUWANSANYA

Business Name

JIRAPA SUWANSANYA

Original Issue Date

07/28/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008