Maxon Souvannasing

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

160008802

Status

Active

First issued

October 28, 2019

Expires

September 30, 2027

License holder

Maxon Souvannasing

Entity type

Individual

Classifications

• Licensed Physical Therapist Assistant Therapy & Rehabilitation

More from the license record

Current term began

09/30/2025

Other Illinois licenses under this name

• IL
  Maxon Souvannasing

  License 049205155

  Pharmacy Technician
  Expired

  North Aurora, IL

  Expired Mar 31, 2017

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