Etta Faye Gentry Kottkamp
ExpiredIllinois license 049065046
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049065046
- Status
- Expired (Not Renewed)
- First issued
- March 19, 1976
- Expired
- March 31, 1984
- License holder
- Etta Faye Gentry Kottkamp
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/19/1976
Contact
Irvington, IL 62848
Washington County