Ted A Stark
ExpiredIllinois license 049051395
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049051395
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Ted A Stark
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Springfield, IL 62702
Sangamon County