Cynthia Ann Provines
ExpiredIllinois license 049263382
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049263382
- Status
- Expired (Not Renewed)
- First issued
- February 15, 2019
- Expired
- September 30, 2020
- License holder
- Cynthia Ann Provines
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/15/2019
Contact
Sumner, IL 62466
Lawrence County