Phornicha Viengnak
ExpiredIllinois license 049216366
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049216366
- Status
- Expired (Not Renewed)
- First issued
- March 4, 2013
- Expired
- March 31, 2015
- License holder
- Phornicha Viengnak
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/24/2014
Contact
Chicago, IL 60660
Cook County