Leta L Small
ExpiredIllinois license 049114133
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049114133
- Status
- Expired (Not Renewed)
- First issued
- May 1, 1996
- Expired
- March 31, 2005
- License holder
- Leta L Small
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/01/1996
Contact
Princeton, IL 61356
Bureau County