Andrea Lynn Phaviseth
ExpiredIllinois license 049248004
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049248004
- Status
- Expired (Not Renewed)
- First issued
- January 24, 2017
- Expired
- March 31, 2018
- License holder
- Andrea Lynn Phaviseth
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/24/2017
Contact
Minneapolis, MN 55429
Minnesota County