Malavone Nachampassak

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049138086

Status

Expired (Not Renewed)

First issued

September 11, 2001

Expired

March 31, 2002

License holder

Malavone Nachampassak

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

09/11/2001

Contact