Dale Blake Lilly
ExpiredIllinois license 049072963
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049072963
- Status
- Expired (Not Renewed)
- First issued
- May 16, 1980
- Expired
- March 31, 1982
- License holder
- Dale Blake Lilly
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/16/1980
Contact
Brookfield, IL 60513
Cook County