ITTIPORN CHUATRISORN - Pharmacist License in Illinois | # 049200449

ITTIPORN CHUATRISORN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200449

License Status

NOT RENEWED

Business

N

First Name

ITTIPORN

Last Name

CHUATRISORN

Business Name

ITTIPORN CHUATRISORN

Original Issue Date

09/10/2010

Effective Date

01/14/2013

Expiration Date

03/31/2014

City

CHICAGO

State

IL

Zip

60612

County

COOK

Ever Disciplined

N

LastModifiedDate

05/06/2014