NANTAKA SUNTIVISUT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189190

License Status

NOT RENEWED

Business

First Name

NANTAKA

Last Name

SUNTIVISUT

Business Name

NANTAKA SUNTIVISUT

Original Issue Date

01/14/2009

Effective Date

03/04/2015

Expiration Date

03/31/2016

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016