PORNPHAN SIRIPRAKOB - Pharmacist License in Illinois | # 051037336

PORNPHAN SIRIPRAKOB

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037336

License Status

INACTIVE

Business

N

First Name

PORNPHAN

Last Name

SIRIPRAKOB

Business Name

PORNPHAN SIRIPRAKOB

Original Issue Date

04/15/1989

Effective Date

04/15/1989

Expiration Date

03/31/1996

City

RED BUD

State

IL

Zip

62278

County

RANDOLPH

Ever Disciplined

N

LastModifiedDate

10/17/2005