MONGKON WUNGWATTANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165097

License Status

NOT RENEWED

Business

First Name

MONGKON

Last Name

WUNGWATTANA

Business Name

MONGKON WUNGWATTANA

Original Issue Date

11/18/2005

Effective Date

03/31/2011

Expiration Date

03/31/2012

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012