Donald Steven Provenzano
ExpiredIllinois license 049056635
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049056635
- Status
- Expired (Not Renewed)
- First issued
- January 1, 1997
- Expired
- January 1, 1997
- License holder
- Donald Steven Provenzano
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
Other Illinois licenses under this name
-
IL
InactiveGadsden, ALExpired Jan 31, 1985
-
IL
ExpiredBloomingdale, ILExpired Sep 1, 1982
Contact
Bloomingdale, IL 60108
Dupage County