Timothy D Blake
ExpiredIllinois license 049205465
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049205465
- Status
- Expired (Not Renewed)
- First issued
- July 20, 2011
- Expired
- March 31, 2013
- License holder
- Timothy D Blake
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/02/2012
Contact
Janesville, WI 53545
Wisconsin County