Pat R Moultrie
ExpiredIllinois license 049101577
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049101577
- Status
- Expired (Not Renewed)
- First issued
- October 22, 1992
- Expired
- March 31, 2003
- License holder
- Pat R Moultrie
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/22/1992
Contact
Staunton, IL 62088
Macoupin County