THATCHAMON INTARAKUPAKUL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157340

License Status

NOT RENEWED

Business

First Name

THATCHAMON

Last Name

INTARAKUPAKUL

Business Name

THATCHAMON INTARAKUPAKUL

Original Issue Date

10/06/2004

Effective Date

10/06/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006