Blake Darrell Kaelin
ExpiredIllinois license 049058054
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049058054
- Status
- Expired (Not Renewed)
- First issued
- July 8, 1972
- Expired
- March 31, 1984
- License holder
- Blake Darrell Kaelin
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/08/1972
Contact
Belleville, IL 62223
Saint Clair County