Brandon T Surprenant
ExpiredIllinois license 049094120
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049094120
- Status
- Expired (Not Renewed)
- First issued
- August 10, 1990
- Expired
- March 31, 1995
- License holder
- Brandon T Surprenant
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/10/1990
Contact
Chicago, IL 60612
Cook County