Opal Melissa Blake
ExpiredIllinois license 049116451
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049116451
- Status
- Expired (Not Renewed)
- First issued
- February 3, 1997
- Expired
- March 31, 2005
- License holder
- Opal Melissa Blake
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/03/1997
Contact
Oak Park, IL 60302
Cook County