Andrea Southall
InactiveIllinois license 049072520
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049072520
- Status
- Inactive (Cancelled)
- First issued
- February 8, 1980
- Expired
- January 1, 1997
- License holder
- Andrea Southall
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/08/1980
Contact
Chicago Heights, IL 60411
Cook County