Eugene Blackwell
InactiveIllinois license 049064631
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049064631
- Status
- Inactive (Cancelled)
- First issued
- January 2, 1976
- Expired
- January 1, 1997
- License holder
- Eugene Blackwell
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/02/1976
Contact
Chicago, IL 60620
Cook County