Charles Grant Shockey Jr
ExpiredIllinois license 049062392
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049062392
- Status
- Expired (Not Renewed)
- First issued
- October 11, 1974
- Expired
- January 1, 1997
- License holder
- Charles Grant Shockey Jr
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/11/1974
Contact
Cerro Gordo, IL 61818
Piatt County