Matthew Russell Wildman
ExpiredIllinois license 049114591
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049114591
- Status
- Expired (Not Renewed)
- First issued
- July 10, 1996
- Expired
- March 31, 1998
- License holder
- Matthew Russell Wildman
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/10/1996
Contact
Cerro Gordo, IL 61818
Piatt County