Phillip M Black
ExpiredIllinois license 049098175
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049098175
- Status
- Expired (Not Renewed)
- First issued
- September 27, 1991
- Expired
- March 31, 1993
- License holder
- Phillip M Black
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/27/1991
Contact
Bloomington, IL 61704
McLean County