Penny Marlene Daum
ExpiredIllinois license 049066021
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049066021
- Status
- Expired (Not Renewed)
- First issued
- September 3, 1976
- Expired
- January 1, 1997
- License holder
- Penny Marlene Daum
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/03/1976
Contact
Highland, IL 62249
Madison County