Kennedy R Profaizer
ExpiredIllinois license 049215360
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049215360
- Status
- Expired (Not Renewed)
- First issued
- January 8, 2013
- Expired
- March 31, 2015
- License holder
- Kennedy R Profaizer
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/03/2014
Contact
Wilsonville, IL 62093
Macoupin County