Lisa A Modesitt
ExpiredIllinois license 049079700
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049079700
- Status
- Expired (Not Renewed)
- First issued
- April 19, 1984
- Expired
- March 31, 1986
- License holder
- Lisa A Modesitt
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/19/1984
Contact
Effingham, IL 62401
Effingham County