Jacob Lee Licklider
InactiveIllinois license 049199670
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049199670
- Status
- Inactive
- First issued
- July 29, 2010
- Expired
- March 31, 2021
- License holder
- Jacob Lee Licklider
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/16/2020
Contact
Glen Carbon, IL 62034
Madison County