PATIPHAN VATANAKORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164023

License Status

NOT RENEWED

Business

First Name

PATIPHAN

Last Name

VATANAKORN

Business Name

PATIPHAN VATANAKORN

Original Issue Date

09/20/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009