Ana Champanakhone
ExpiredIllinois license 049280549
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049280549
- Status
- Expired (Not Renewed)
- First issued
- March 22, 2021
- Expired
- March 31, 2024
- License holder
- Ana Champanakhone
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/05/2023
Contact
Granite City, IL 62040
Madison County