Phyllis A Lane
ExpiredIllinois license 049109828
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049109828
- Status
- Expired (Not Renewed)
- First issued
- March 17, 1995
- Expired
- March 31, 1999
- License holder
- Phyllis A Lane
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/17/1995
Contact
Praorie Du Chien, WI 53821
Wisconsin County