Thongsouk Thammarath
ExpiredIllinois license 049121306
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049121306
- Status
- Expired (Not Renewed)
- First issued
- June 4, 1998
- Expired
- March 31, 2004
- License holder
- Thongsouk Thammarath
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/04/1998
Contact
Rockford, IL 61104
Winnebago County