License Directory

Fay Shirley Fountain

Inactive

Illinois license 476214540

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
476214540
Status
Inactive (Cancelled)
First issued
May 2, 1978
Expired
March 31, 1996
License holder
Fay Shirley Fountain
Entity type
Individual

Classifications

More from the license record

Current term began
05/02/1978

Contact

Granite City, IL 62040
Madison County