Amphone Kingphavong
ExpiredIllinois license 049214918
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049214918
- Status
- Expired (Not Renewed)
- First issued
- December 6, 2012
- Expired
- March 31, 2016
- License holder
- Amphone Kingphavong
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/25/2015
Contact
Belvidere, IL 61008
Boone County