Wayne O Fouts
ExpiredIllinois license 049073709
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049073709
- Status
- Expired (Not Renewed)
- First issued
- October 10, 1980
- Expired
- March 31, 2004
- License holder
- Wayne O Fouts
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/10/1980
Contact
Girard, IL 62640
Macoupin County