Therese M Modrak
ExpiredIllinois license 049095171
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049095171
- Status
- Expired (Not Renewed)
- First issued
- December 1, 1990
- Expired
- March 31, 1992
- License holder
- Therese M Modrak
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/01/1990
Contact
Merrillville, IN 46410
Indiana County