Collin Edward Black
ExpiredIllinois license 049123397
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049123397
- Status
- Expired (Not Renewed)
- First issued
- October 23, 1998
- Expired
- March 31, 2005
- License holder
- Collin Edward Black
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/23/1998
Contact
McHenry, IL 60050
McHenry County