Shirley M Blackman
ExpiredIllinois license 049084105
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049084105
- Status
- Expired (Not Renewed)
- First issued
- April 3, 1987
- Expired
- March 31, 1992
- License holder
- Shirley M Blackman
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/03/1987
Contact
Harrisburg, IL 62946
Saline County