Keith W Mervis
ExpiredIllinois license 049099576
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049099576
- Status
- Expired (Not Renewed)
- First issued
- March 4, 1992
- Expired
- March 31, 1994
- License holder
- Keith W Mervis
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/04/1992
Contact
Peoria, IL 61615
Peoria County