Nadia Phouphommakhith
ExpiredIllinois license 049273514
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049273514
- Status
- Expired (Not Renewed)
- First issued
- May 29, 2020
- Expired
- March 31, 2021
- License holder
- Nadia Phouphommakhith
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/29/2020
Contact
Machesney Park, IL 61115
Winnebago County