Phavanna N Siharath
ExpiredIllinois license 049091542
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049091542
- Status
- Expired (Not Renewed)
- First issued
- October 31, 1989
- Expired
- March 31, 2011
- License holder
- Phavanna N Siharath
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/22/2010
Contact
Chicago, IL 60645
Cook County