Elizabeth Ann Provance

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049137618

Status

Expired (Not Renewed)

First issued

August 8, 2001

Expired

March 31, 2006

License holder

Elizabeth Ann Provance

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

08/08/2001

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