Edward Shupenus
ExpiredIllinois license 049082218
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049082218
- Status
- Expired (Not Renewed)
- First issued
- February 21, 1986
- Expired
- March 31, 1991
- License holder
- Edward Shupenus
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/21/1986
Contact
Winchester, IL 62694
Scott County