SUPATAT CHUMNUMWAT - Pharmacist License in Illinois | # 051296729

SUPATAT CHUMNUMWAT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296729

License Status

NOT RENEWED

Business

N

First Name

SUPATAT

Last Name

CHUMNUMWAT

Business Name

SUPATAT CHUMNUMWAT

Original Issue Date

07/25/2013

Effective Date

03/24/2016

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018