Jenessa M Trace
ExpiredIllinois license 049129688
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049129688
- Status
- Expired (Not Renewed)
- First issued
- March 2, 2000
- Expired
- March 31, 2006
- License holder
- Jenessa M Trace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/02/2000
Contact
Lebanon, IL 62254
Saint Clair County