Mary Ann Southard
ExpiredIllinois license 049141104
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049141104
- Status
- Expired (Not Renewed)
- First issued
- March 1, 2002
- Expired
- March 31, 2016
- License holder
- Mary Ann Southard
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/18/2015
Contact
Rockford, IL 61114
Winnebago County