SURASAK J VASAVANONT Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051293192

License Status

ACTIVE

Business

First Name

SURASAK

Middle

Last Name

VASAVANONT

Business Name

SURASAK J VASAVANONT

Original Issue Date

04/03/2009

Effective Date

02/01/2026

Expiration Date

03/31/2028

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/01/2026