Susan M Bourassa
ExpiredIllinois license 049086122
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049086122
- Status
- Expired (Not Renewed)
- First issued
- March 5, 1988
- Expired
- March 31, 1989
- License holder
- Susan M Bourassa
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/05/1988
Contact
Bonfield, IL 60913
Kankakee County