Shane A Needham
ExpiredIllinois license 049229031
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049229031
- Status
- Expired (Not Renewed)
- First issued
- November 6, 2014
- Expired
- March 31, 2015
- License holder
- Shane A Needham
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/06/2014
Contact
Benton, IL 62812
Franklin County