Siriphone L. Bannavong

Apprentice Ophthalmic Dispenser

New Jersey  AD-06826   Expired

This New Jersey license was held by Siriphone L. Bannavong. The license is no longer active. It was granted on 08/09/2007 and expired on 08/09/2010

LICENSE DETAILS

  • License Number: AD-06826
  • Category: Apprentice Ophthalmic Dispenser
  • Status: Expired
  • Date Granted: 08/09/2007 (almost 17 years ago)
  • Expiry Date: 08/09/2010 (almost 14 years ago)