Kim R Thacker
ExpiredIllinois license 049081905
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049081905
- Status
- Expired (Not Renewed)
- First issued
- November 15, 1985
- Expired
- March 31, 1992
- License holder
- Kim R Thacker
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/15/1985
Contact
Bridgeport, IL 62417
Lawrence County