Diane Havens
ExpiredIllinois license 049059770
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049059770
- Status
- Expired (Not Renewed)
- First issued
- June 22, 1973
- Expired
- March 31, 1992
- License holder
- Diane Havens
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/22/1973
Contact
Bushnell, IL 61422
McDonough County