Leanne M Blackwell
ExpiredIllinois license 049112563
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049112563
- Status
- Expired (Not Renewed)
- First issued
- November 21, 1995
- Expired
- March 31, 1998
- License holder
- Leanne M Blackwell
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 11/21/1995
Contact
Riverton, IL 62561
Sangamon County