Blake Alan Edwards
InactiveIllinois license 049068182
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049068182
- Status
- Inactive (Cancelled)
- First issued
- September 30, 1977
- Expired
- January 1, 1997
- License holder
- Blake Alan Edwards
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/30/1977
Contact
Christopher, IL 62822
Franklin County