DUANGPORN AM CHAIYAPORN - Pharmacist License in Illinois | # 049160968

DUANGPORN AM CHAIYAPORN

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160968

License Status

INACTIVE

Business

N

First Name

DUANGPORN

Middle

AM

Last Name

CHAIYAPORN

Business Name

DUANGPORN AM CHAIYAPORN

Original Issue Date

05/12/2005

Effective Date

02/27/2018

Expiration Date

03/31/2019

City

CHICAGO

State

IL

Zip

60618

County

COOK

Ever Disciplined

N

LastModifiedDate

01/12/2019