Keo Sysavanh

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049111968

Status

Expired (Not Renewed)

First issued

September 27, 1995

Expired

March 31, 1997

License holder

Keo Sysavanh

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

09/27/1995

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