Jakia Shanese Bazemore
ExpiredIllinois license 049197553
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049197553
- Status
- Expired (Not Renewed)
- First issued
- March 30, 2010
- Expired
- March 31, 2011
- License holder
- Jakia Shanese Bazemore
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/30/2010
Contact
Springfield, IL 62703
Sangamon County