License Directory

Souphaphone Khotsombat

Expired

Illinois license 169028809

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
169028809
Status
Expired (Not Renewed)
First issued
January 16, 2020
Expired
October 31, 2022
License holder
Souphaphone Khotsombat
Entity type
Individual

Classifications

More from the license record

Current term began
10/27/2020

Contact

Rockford, IL 61104