Takala Fomond

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049131729

Status

Expired (Not Renewed)

First issued

July 21, 2000

Expired

March 31, 2001

License holder

Takala Fomond

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

07/21/2000

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