Phayboun K Kattaviravong

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049143232

Status

Expired (Not Renewed)

First issued

June 17, 2002

Expired

March 31, 2003

License holder

Phayboun K Kattaviravong

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

06/17/2002

Other Illinois licenses under this name

• IL
  Phayboun K Kattaviravong

  License 051289126

  Registered Pharmacist (Pharmacy)
  Expired

  Jonesboro, AR

  Expired Mar 31, 2016

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