Terri D Basham
ExpiredIllinois license 049099639
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049099639
- Status
- Expired (Not Renewed)
- First issued
- March 11, 1992
- Expired
- March 31, 2003
- License holder
- Terri D Basham
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/11/1992
Contact
Zion, IL 60099
Lake County