Jonathan Wade Koller
ExpiredIllinois license 049139232
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049139232
- Status
- Expired (Not Renewed)
- First issued
- November 15, 2001
- Expired
- March 31, 2003
- License holder
- Jonathan Wade Koller
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/15/2001
Contact
De Kalb, IL 60115
Dekalb County