Whitney M Provines
ExpiredIllinois license 049086418
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049086418
- Status
- Expired (Not Renewed)
- First issued
- April 16, 1988
- Expired
- March 31, 1991
- License holder
- Whitney M Provines
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/16/1988
Contact
Vandalia, IL 62471
Fayette County