Phetchalad Jackie Syphommarath

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049187247

Status

Expired (Not Renewed)

First issued

September 23, 2008

Expired

May 31, 2022

License holder

Phetchalad Jackie Syphommarath

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

03/15/2021

Other Illinois licenses under this name

• IL
  Phetchalad Jackie Syphommarath

  License 194023482

  Respiratory Care Practitioner
  Active

  Loves Park, IL

  Expires Oct 31, 2027

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