OUTTAMA LUANGSOMKHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171485

License Status

NOT RENEWED

Business

First Name

OUTTAMA

Last Name

LUANGSOMKHAM

Business Name

OUTTAMA LUANGSOMKHAM

Original Issue Date

09/20/2006

Effective Date

03/26/2013

Expiration Date

03/31/2014

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/06/2014