ROBERT PREECHA EURSIRIWAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204546

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

PREECHA

Last Name

EURSIRIWAN

Business Name

ROBERT PREECHA EURSIRIWAN

Original Issue Date

06/01/2011

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

NORTHBROOK

State

Zip

60062

Ever Disciplined

LastModifiedDate

07/27/2022