Mark Allen Moder
ExpiredIllinois license 049124169
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049124169
- Status
- Expired (Not Renewed)
- First issued
- December 16, 1998
- Expired
- March 31, 2003
- License holder
- Mark Allen Moder
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/16/1998
Contact
Mount Prospect, IL 60056
Cook County