Tyrone A Lake
ExpiredIllinois license 049215087
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049215087
- Status
- Expired (Not Renewed)
- First issued
- December 19, 2012
- Expired
- March 31, 2015
- License holder
- Tyrone A Lake
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/09/2014
Contact
Rockford, IL 61101
Winnebago County