ANDREW SOUKTAKITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244136

License Status

NOT RENEWED

Business

First Name

ANDREW

Last Name

SOUKTAKITH

Business Name

ANDREW SOUKTAKITH

Original Issue Date

08/19/2016

Effective Date

10/12/2017

Expiration Date

03/31/2018

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

06/19/2018