Lawrence Lafayet Wiseman Jr
ExpiredIllinois license 049055977
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049055977
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Lawrence Lafayet Wiseman Jr
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Contact
E. St. Louis, IL 62203
Saint Clair County