Eva Jane Southerland
ExpiredIllinois license 049130173
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049130173
- Status
- Expired (Not Renewed)
- First issued
- March 22, 2000
- Expired
- March 31, 2004
- License holder
- Eva Jane Southerland
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/22/2000
Contact
Decatur, IL 62526
Macon County