Phayboun K Kattaviravong

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

051289126

Status

Expired (Not Renewed)

First issued

September 27, 2002

Expired

March 31, 2016

License holder

Phayboun K Kattaviravong

Entity type

Individual

Classifications

• Registered Pharmacist (Pharmacy) Pharmacy

More from the license record

Current term began

01/24/2014

Other Illinois licenses under this name

• IL
  Phayboun K Kattaviravong

  License 049143232

  Pharmacy Technician
  Expired

  Romeoville, IL

  Expired Mar 31, 2003

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