Vicky Jane Bohm
ExpiredIllinois license 049063396
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049063396
- Status
- Expired (Not Renewed)
- First issued
- May 2, 1975
- Expired
- January 1, 1997
- License holder
- Vicky Jane Bohm
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/02/1975
Contact
East Peoria, IL 61611
Tazewell County