TIDARAT KUSUB Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180596

License Status

ACTIVE

Business

First Name

TIDARAT

Last Name

KUSUB

Business Name

TIDARAT KUSUB

Original Issue Date

11/16/2007

Effective Date

03/21/2025

Expiration Date

03/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2026