Samuel Dean Gaines
ExpiredIllinois license 049124514
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049124514
- Status
- Expired (Not Renewed)
- First issued
- January 22, 1999
- Expired
- March 31, 2000
- License holder
- Samuel Dean Gaines
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/22/1999
Contact
Mattoon, IL 61938
Coles County