Shibu Raphael Vazha
ExpiredIllinois license 049142969
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049142969
- Status
- Expired (Not Renewed)
- First issued
- June 4, 2002
- Expired
- March 31, 2003
- License holder
- Shibu Raphael Vazha
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/04/2002
Contact
Springfield, IL 62702
Sangamon County