Brad Alexander Wallen
ExpiredIllinois license 049263731
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049263731
- Status
- Expired (Not Renewed)
- First issued
- March 14, 2019
- Expired
- March 31, 2021
- License holder
- Brad Alexander Wallen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/04/2020
Contact
Sidell, IL 61876
Vermilion County