Kristina Soukpanya Vongmoukda
ExpiredIllinois license 049259029
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049259029
- Status
- Expired (Not Renewed)
- First issued
- August 8, 2018
- Expired
- March 31, 2021
- License holder
- Kristina Soukpanya Vongmoukda
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/04/2020
Contact
Rockford, IL 61108
Winnebago County