Lura C Provo

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049063031

Status

Expired (Not Renewed)

First issued

February 28, 1975

Expired

January 1, 1997

License holder

Lura C Provo

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

02/28/1975

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