Paul Jason Prairie
ExpiredIllinois license 049126032
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049126032
- Status
- Expired (Not Renewed)
- First issued
- May 24, 1999
- Expired
- March 31, 2000
- License holder
- Paul Jason Prairie
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/24/1999
Contact
Momence, IL 60954
Kankakee County