SUPHAT SUBONGKOT Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287814

License Status

ACTIVE

Business

First Name

SUPHAT

Last Name

SUBONGKOT

Business Name

SUPHAT SUBONGKOT

Original Issue Date

08/22/2000

Effective Date

03/03/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2026