SUPATAT CHUMNUMWAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200570

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014