Antawn A Souffrant
ExpiredIllinois license 049235433
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049235433
- Status
- Expired (Not Renewed)
- First issued
- August 12, 2015
- Expired
- March 31, 2016
- License holder
- Antawn A Souffrant
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/12/2015
Contact
Peoria, IL 61615
Peoria County