Larry W Stack
ExpiredIllinois license 049074795
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049074795
- Status
- Expired (Not Renewed)
- First issued
- June 24, 1981
- Expired
- March 31, 1988
- License holder
- Larry W Stack
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/24/1981
Contact
Springfield, IL 62704
Sangamon County