SUPATAT CHUMNUMWAT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296729

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018