Timothy W Bastian
ExpiredIllinois license 049086403
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049086403
- Status
- Expired (Not Renewed)
- First issued
- April 16, 1988
- Expired
- March 31, 1989
- License holder
- Timothy W Bastian
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/16/1988
Contact
Canton, IL 61520
Fulton County