Clark Anthony Patungan Devenecia
ExpiredIllinois license 049267545
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049267545
- Status
- Expired (Not Renewed)
- First issued
- August 27, 2019
- Expired
- May 31, 2022
- License holder
- Clark Anthony Patungan Devenecia
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/10/2021
Contact
Des Plaines, IL 60016
Cook County