Kelly Diane Smith
ExpiredIllinois license 049073602
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049073602
- Status
- Expired (Not Renewed)
- First issued
- September 19, 1980
- Expired
- March 31, 1984
- License holder
- Kelly Diane Smith
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/19/1980
Contact
Loves Park, IL 61111
Winnebago County