Celeste A Basom
ExpiredIllinois license 049061581
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049061581
- Status
- Expired (Not Renewed)
- First issued
- May 29, 1974
- Expired
- March 31, 2003
- License holder
- Celeste A Basom
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/29/1974
Contact
Homewood, IL 60430
Cook County