Anny T Phorasavong
ExpiredIllinois license 049232762
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049232762
- Status
- Expired (Not Renewed)
- First issued
- April 30, 2015
- Expired
- March 31, 2016
- License holder
- Anny T Phorasavong
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/30/2015
Contact
Rockford, IL 61109
Winnebago County