Diane L Eissens
ExpiredIllinois license 049084647
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049084647
- Status
- Expired (Not Renewed)
- First issued
- July 13, 1987
- Expired
- March 31, 1995
- License holder
- Diane L Eissens
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/13/1987
Contact
Rockford, IL 61107
Winnebago County