Susan J Derham
ExpiredIllinois license 049083103
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049083103
- Status
- Expired (Not Renewed)
- First issued
- July 31, 1986
- Expired
- March 31, 1988
- License holder
- Susan J Derham
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/31/1986
Contact
Charleston, IL 61920
Coles County