Daniel Formosa
ExpiredIllinois license 049073552
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049073552
- Status
- Expired (Not Renewed)
- First issued
- September 5, 1980
- Expired
- March 31, 1984
- License holder
- Daniel Formosa
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/05/1980
Contact
Oak Lawn, IL 60453
Cook County