Chintana Puangsuvan
ExpiredIllinois license 049069743
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049069743
- Status
- Expired (Not Renewed)
- First issued
- July 14, 1978
- Expired
- January 1, 1997
- License holder
- Chintana Puangsuvan
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/14/1978
Contact
Eldorado, IL 62930
Saline County