License Directory

Chutima Phongphua Dc

Expired

Illinois license 038008196

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
038008196
Status
Expired (Not Renewed)
First issued
April 21, 1997
Expired
July 31, 1999
License holder
Chutima Phongphua Dc
Entity type
Individual

Classifications

More from the license record

Current term began
04/21/1997

Contact

Davenport, IA 52806
Iowa County