Mia Markita Lane
ExpiredIllinois license 049255968
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049255968
- Status
- Expired (Not Renewed)
- First issued
- February 2, 2018
- Expired
- September 30, 2020
- License holder
- Mia Markita Lane
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/17/2019
Contact
Ottawa, IL 61350
La Salle County