PRANOM CHONGRUKVANICH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036775

License Status

INACTIVE

Business

First Name

PRANOM

Last Name

CHONGRUKVANICH

Business Name

PRANOM CHONGRUKVANICH

Original Issue Date

10/15/1987

Effective Date

10/15/1987

Expiration Date

03/31/1990

City

ALBEMARLE

State

Zip

28001

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/17/2005