Philip Austin Fong
ExpiredIllinois license 049142775
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049142775
- Status
- Expired (Not Renewed)
- First issued
- May 30, 2002
- Expired
- March 31, 2004
- License holder
- Philip Austin Fong
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/30/2002
Contact
Rockford, IL 61114
Winnebago County