Natalie Dussourd
ExpiredIllinois license 097001274
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 097001274
- Status
- Expired (Not Renewed)
- First issued
- July 24, 2002
- Expired
- December 31, 2004
- Entity type
- Business
Classifications
- Other Controlled Substance (Pharmacy) Pharmacy
More from the license record
- Controlled substance schedules
- III
- Current term began
- 07/24/2002
Contact
Normal, IL 61790
McLean County