Daniel William Supitilov
ExpiredIllinois license 049116710
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049116710
- Status
- Expired (Not Renewed)
- First issued
- March 6, 1997
- Expired
- March 31, 2008
- License holder
- Daniel William Supitilov
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/19/2007
Contact
Melrose Park, IL 60160
Cook County