Mark Nicholas Black
ExpiredIllinois license 049134290
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049134290
- Status
- Expired (Not Renewed)
- First issued
- January 5, 2001
- Expired
- March 31, 2006
- License holder
- Mark Nicholas Black
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/05/2001
Contact
Mount Vernon, IL 62864
Jefferson County