SOMBAT VATANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165969

License Status

NOT RENEWED

Business

First Name

SOMBAT

Last Name

VATANA

Business Name

SOMBAT VATANA

Original Issue Date

01/06/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009