Blayne Paul Fleck
ExpiredIllinois license 049143754
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049143754
- Status
- Expired (Not Renewed)
- First issued
- July 18, 2002
- Expired
- March 31, 2003
- License holder
- Blayne Paul Fleck
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/18/2002
Contact
Chatham, IL 62629
Sangamon County