Jesse Dylan Basham
ExpiredIllinois license 049207926
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049207926
- Status
- Expired (Not Renewed)
- First issued
- November 21, 2011
- Expired
- March 31, 2014
- License holder
- Jesse Dylan Basham
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/09/2013
Contact
West Frankfort, IL 62896
Franklin County