EDISORN PARDUNGKIATTISAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179938

License Status

NOT RENEWED

Business

First Name

EDISORN

Last Name

PARDUNGKIATTISAK

Business Name

EDISORN PARDUNGKIATTISAK

Original Issue Date

10/15/2007

Effective Date

03/06/2012

Expiration Date

03/31/2013

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013