Vicki Lane Black
ExpiredIllinois license 049068973
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049068973
- Status
- Expired (Not Renewed)
- First issued
- March 17, 1978
- Expired
- January 1, 1997
- License holder
- Vicki Lane Black
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/17/1978
Contact
Pontiac, IL 61764
Livingston County