Shanata J Holman
ExpiredIllinois license 049208457
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049208457
- Status
- Expired (Not Renewed)
- First issued
- December 28, 2011
- Expired
- March 31, 2014
- License holder
- Shanata J Holman
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/20/2013
Contact
Collinsville, IL 62234
Madison County