Matthew Backstrom
ExpiredIllinois license 049209320
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049209320
- Status
- Expired (Not Renewed)
- First issued
- February 22, 2012
- Expired
- March 31, 2013
- License holder
- Matthew Backstrom
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/22/2012
Contact
Poplar Grove, IL 61065
Boone County