Daniel Kevin Mortensen
ExpiredIllinois license 049133686
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049133686
- Status
- Expired (Not Renewed)
- First issued
- November 21, 2000
- Expired
- March 31, 2004
- License holder
- Daniel Kevin Mortensen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/21/2000
Contact
Burlington, WI 53105
Wisconsin County