Kennedy Marie Provo

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049284259

Status

Expired (Not Renewed)

First issued

July 23, 2021

Expired

March 31, 2023

License holder

Kennedy Marie Provo

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

06/01/2022

Other Illinois licenses under this name

• IL
  Kennedy Marie Provo

  License 131022274

  Licensed Esthetician (Cosmo)
  Active

  Springfield, IL

  Expires Sep 30, 2027

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