Souksakhone Sourignavong

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

020010550

Status

Expired (Not Renewed)

First issued

February 28, 2003

Expired

September 30, 2009

License holder

Souksakhone Sourignavong

Entity type

Individual

Classifications

• Registered Dental Hygienist Dental

More from the license record

Current term began

10/01/2006

Contact