Kivontay Isaiah Shaw
ExpiredIllinois license 049291847
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049291847
- Status
- Expired (Not Renewed)
- First issued
- April 6, 2022
- Expired
- March 31, 2023
- License holder
- Kivontay Isaiah Shaw
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/06/2022
Contact
Moline, IL 61265
Rock Island County