SUPATAT CHUMNUMWAT - Pharmacist License in Illinois | # 049200570

SUPATAT CHUMNUMWAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200570

License Status

NOT RENEWED

Business

N

First Name

SUPATAT

Last Name

CHUMNUMWAT

Business Name

SUPATAT CHUMNUMWAT

Original Issue Date

09/15/2010

Effective Date

01/08/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014