PATCHARAPORN KOSITTHANASARN - Pharmacist License in Illinois | # 049200863

PATCHARAPORN KOSITTHANASARN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200863

License Status

NOT RENEWED

Business

N

First Name

PATCHARAPORN

Last Name

KOSITTHANASARN

Business Name

PATCHARAPORN KOSITTHANASARN

Original Issue Date

10/05/2010

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

OAK PARK

State

IL

Zip

60302

County

COOK

Ever Disciplined

N

LastModifiedDate

05/06/2013