YUPAPAN SURAKANVIT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177441

License Status

NOT RENEWED

Business

First Name

YUPAPAN

Last Name

SURAKANVIT

Business Name

YUPAPAN SURAKANVIT

Original Issue Date

06/29/2007

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010