Melody Dawn Shouse
InactiveIllinois license 049200871
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049200871
- Status
- Inactive
- First issued
- October 5, 2010
- Expired
- March 31, 2012
- License holder
- Melody Dawn Shouse
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/03/2011
Contact
Highland, IL 62249
Madison County