Pornphan Siriprakob
InactiveIllinois license 051037336
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 051037336
- Status
- Inactive
- First issued
- April 15, 1989
- Expired
- March 31, 1996
- License holder
- Pornphan Siriprakob
- Entity type
- Individual
Classifications
- Registered Pharmacist (Pharmacy) Pharmacy
More from the license record
- Current term began
- 04/15/1989
Other Illinois licenses under this name
-
IL
ExpiredRed Bud, ILExpired Mar 31, 1989
Contact
Red Bud, IL 62278
Randolph County