Kenneth P Brantly
ExpiredIllinois license 049077754
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049077754
- Status
- Expired (Not Renewed)
- First issued
- February 7, 1983
- Expired
- March 31, 1986
- License holder
- Kenneth P Brantly
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/07/1983
Contact
Lindenhurst, IL 60046
Lake County