PACHARAPORN BANE - Pharmacist License in Illinois | # 049163925

PACHARAPORN BANE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163925

License Status

NOT RENEWED

Business

N

First Name

PACHARAPORN

Last Name

BANE

Business Name

PACHARAPORN BANE

Original Issue Date

09/15/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

IL

Zip

60618

County

COOK

Ever Disciplined

N

LastModifiedDate

05/02/2008