Glen Allen Davis
ExpiredIllinois license 049045231
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049045231
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Glen Allen Davis
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Morton, IL 61550
Tazewell County