TANYAPORN K KAENKUMCHORN - Pharmacist License in Illinois | # 049168712

TANYAPORN K KAENKUMCHORN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168712

License Status

NOT RENEWED

Business

N

First Name

TANYAPORN

Middle

K

Last Name

KAENKUMCHORN

Business Name

TANYAPORN K KAENKUMCHORN

Original Issue Date

05/17/2006

Effective Date

01/18/2012

Expiration Date

03/31/2013

City

DARIEN

State

IL

Zip

60561

County

DUPAGE

Ever Disciplined

N

LastModifiedDate

05/06/2013