Olivia S Black
ExpiredIllinois license 049197644
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049197644
- Status
- Expired (Not Renewed)
- First issued
- April 4, 2010
- Expired
- March 31, 2012
- License holder
- Olivia S Black
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/15/2011
Contact
Woodlawn, IL 62898
Jefferson County