Shane A Goganthomas
ExpiredIllinois license 049238748
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049238748
- Status
- Expired (Not Renewed)
- First issued
- January 7, 2016
- Expired
- March 31, 2018
- License holder
- Shane A Goganthomas
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/31/2017
Contact
Mount Vernon, IL 62864
Jefferson County