NATTAPHONE SENESOMBATH Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277235

License Status

ACTIVE

Business

First Name

NATTAPHONE

Last Name

SENESOMBATH

Business Name

NATTAPHONE SENESOMBATH

Original Issue Date

11/06/2020

Effective Date

01/23/2025

Expiration Date

03/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

01/30/2026