Phetchalad Jackie Syphommarath
ActiveIllinois license 194023482
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 194023482
- Status
- Active
- First issued
- November 3, 2025
- Expires
- October 31, 2027
- License holder
- Phetchalad Jackie Syphommarath
- Entity type
- Individual
Classifications
- Respiratory Care Practitioner Therapy & Rehabilitation
More from the license record
- Current term began
- 11/03/2025
Other Illinois licenses under this name
-
IL
ExpiredLoves Park, ILExpired May 31, 2022
Contact
Loves Park, IL 61111
Winnebago County