Jamie Lively
ExpiredIllinois license 049217210
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049217210
- Status
- Expired (Not Renewed)
- First issued
- April 5, 2013
- Expired
- March 31, 2016
- License holder
- Jamie Lively
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/09/2015
Contact
Du Quoin, IL 62832
Perry County