Shimeare M Provo
ExpiredIllinois license 049146343
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049146343
- Status
- Expired (Not Renewed)
- First issued
- December 13, 2002
- Expired
- March 31, 2004
- License holder
- Shimeare M Provo
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/13/2002
Other Illinois licenses under this name
-
IL
ExpiredChicago, ILExpired Sep 30, 2019
Contact
Chicago, IL 60636
Cook County