Thisady Tom Khathakhanthaphixay
ExpiredIllinois license 049252946
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049252946
- Status
- Expired (Not Renewed)
- First issued
- September 12, 2017
- Expired
- March 31, 2019
- License holder
- Thisady Tom Khathakhanthaphixay
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/10/2018
Contact
Streamwood, IL 60107
Cook County