Lorna Dina E Provido
ExpiredIllinois license 049053403
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049053403
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- March 31, 1998
- License holder
- Lorna Dina E Provido
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
Chicago, IL 60657
Cook County