OPAL CHUTATIP BOONPITAK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193330

License Status

INACTIVE

Business

First Name

OPAL

Middle

CHUTATIP

Last Name

BOONPITAK

Business Name

OPAL CHUTATIP BOONPITAK

Original Issue Date

07/30/2009

Effective Date

07/30/2009

Expiration Date

03/31/2010

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2010