Tara Renee Drake
ExpiredIllinois license 049123176
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049123176
- Status
- Expired (Not Renewed)
- First issued
- October 9, 1998
- Expired
- March 31, 2000
- License holder
- Tara Renee Drake
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/09/1998
Contact
Decatur, IL 62526
Macon County