Edith-Tanae Leake
ExpiredIllinois license 049087722
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049087722
- Status
- Expired (Not Renewed)
- First issued
- September 3, 1988
- Expired
- March 31, 1997
- License holder
- Edith-Tanae Leake
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/03/1988
Contact
Swansea, IL 62220
Madison County