Jacob Stewart Lane
ExpiredIllinois license 049217589
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049217589
- Status
- Expired (Not Renewed)
- First issued
- April 25, 2013
- Expired
- March 31, 2014
- License holder
- Jacob Stewart Lane
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/25/2013
Contact
Vienna, IL 62995
Johnson County