Supavadee Raecharoen
InactiveIllinois license 049140247
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049140247
- Status
- Inactive
- First issued
- January 18, 2002
- Expired
- March 31, 2021
- License holder
- Supavadee Raecharoen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/09/2020
Contact
Chicago, IL 60625
Cook County