Sandra Lee Blackwell
ExpiredIllinois license 049062768
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049062768
- Status
- Expired (Not Renewed)
- First issued
- January 10, 1975
- Expired
- January 1, 1997
- License holder
- Sandra Lee Blackwell
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/10/1975
Contact
Davis, IL 61019
Stephenson County