Johanna Rene Black
ExpiredIllinois license 049113391
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049113391
- Status
- Expired (Not Renewed)
- First issued
- February 14, 1996
- Expired
- March 31, 1997
- License holder
- Johanna Rene Black
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/14/1996
Contact
Sterling, IL 61081
Whiteside County