License Directory

Soulyta Phannavong

Active

Illinois license 169030463

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
169030463
Status
Active
First issued
April 16, 2022
Expires
October 31, 2028
License holder
Soulyta Phannavong
Entity type
Individual

Classifications

More from the license record

Current term began
10/13/2026

Contact

Rockford, IL 61108