ALISA A CHAIYAPORN - Pharmacist License in Illinois | # 049156773

ALISA A CHAIYAPORN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156773

License Status

NOT RENEWED

Business

N

First Name

ALISA

Middle

A

Last Name

CHAIYAPORN

Business Name

ALISA A CHAIYAPORN

Original Issue Date

08/19/2004

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

CHICAGO

State

IL

Zip

60618

County

COOK

Ever Disciplined

N

LastModifiedDate

05/11/2015