Kenny J Basil
ExpiredIllinois license 049085050
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049085050
- Status
- Expired (Not Renewed)
- First issued
- August 15, 1987
- Expired
- March 31, 1991
- License holder
- Kenny J Basil
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/15/1987
Contact
Mechanicsburg, IL 62545
Sangamon County