Pagen Jade Ashtiani
ExpiredIllinois license 049198297
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049198297
- Status
- Expired (Not Renewed)
- First issued
- May 11, 2010
- Expired
- March 31, 2014
- License holder
- Pagen Jade Ashtiani
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/09/2013
Contact
West Frankfort, IL 62896
Franklin County