D Alex Provido
ExpiredIllinois license 049201638
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049201638
- Status
- Expired (Not Renewed)
- First issued
- November 22, 2010
- Expired
- March 31, 2011
- License holder
- D Alex Provido
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/22/2010
Contact
Franklin Park, IL 60131
Cook County