Donna Alice Stack
ExpiredIllinois license 049072940
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049072940
- Status
- Expired (Not Renewed)
- First issued
- May 9, 1980
- Expired
- March 31, 1999
- License holder
- Donna Alice Stack
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/09/1980
Contact
Centralia, IL 62801
Clinton County