Trista L Black
ExpiredIllinois license 049114766
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049114766
- Status
- Expired (Not Renewed)
- First issued
- August 1, 1996
- Expired
- March 31, 2000
- License holder
- Trista L Black
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/01/1996
Contact
Collinsville, IL 62234
Madison County