License Directory

Panida D Phetsavanh

Expired

Illinois license 169027590

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
169027590
Status
Expired (Not Renewed)
First issued
July 26, 2018
Expired
October 31, 2020
License holder
Panida D Phetsavanh
Entity type
Individual

Classifications

More from the license record

Current term began
09/05/2018

Contact

Rockford, IL 61108
Winnebago County