Valerie S Prouty
ExpiredIllinois license 049105367
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049105367
- Status
- Expired (Not Renewed)
- First issued
- November 30, 1993
- Expired
- March 31, 2004
- License holder
- Valerie S Prouty
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/30/1993
Contact
Rock Island, IL 61201
Rock Island County