NISHA WATTANAYUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235426

License Status

NOT RENEWED

Business

First Name

NISHA

Last Name

WATTANAYUTH

Prefix

Business Name

NISHA WATTANAYUTH

Original Issue Date

08/11/2015

Effective Date

03/20/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018