Diane Larae Kiss
ExpiredIllinois license 049267544
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049267544
- Status
- Expired (Not Renewed)
- First issued
- August 27, 2019
- Expired
- May 31, 2022
- License holder
- Diane Larae Kiss
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/18/2021
Contact
Davenport, IA 52806