PAVEENA SONTHISOMBAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040967

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012