PAVEENA SONTHISOMBAT - Pharmacist License in Illinois | # 051040967

PAVEENA SONTHISOMBAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040967

License Status

NOT RENEWED

Business

N

First Name

PAVEENA

Last Name

SONTHISOMBAT

Business Name

PAVEENA SONTHISOMBAT

Original Issue Date

08/21/1996

Effective Date

04/01/2010

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012