Terrence Miquel Fountain
ExpiredIllinois license 049113539
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049113539
- Status
- Expired (Not Renewed)
- First issued
- February 27, 1996
- Expired
- May 31, 2022
- License holder
- Terrence Miquel Fountain
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/19/2021
Contact
Aurora, IL 60502
Kane County