Kathleen S Provasi
ExpiredIllinois license 049059381
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049059381
- Status
- Expired (Not Renewed)
- First issued
- April 13, 1973
- Expired
- March 31, 2018
- License holder
- Kathleen S Provasi
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/22/2017
Contact
Rockford, IL 61103
Winnebago County