NATHAN M NUENGCHANA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250367

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

NUENGCHANA

Business Name

NATHAN M NUENGCHANA

Original Issue Date

05/04/2017

Effective Date

01/16/2019

Expiration Date

09/30/2020

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

01/08/2021