PORNKAMOL KNEANGPHANICH - Pharmacist License in Illinois | # 049254111

PORNKAMOL KNEANGPHANICH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254111

License Status

NOT RENEWED

Business

N

First Name

PORNKAMOL

Last Name

KNEANGPHANICH

Business Name

PORNKAMOL KNEANGPHANICH

Original Issue Date

11/02/2017

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

SKOKIE

State

IL

Zip

60076

County

COOK

Ever Disciplined

N

LastModifiedDate

01/08/2021