Nickalaus Wt Black
ExpiredIllinois license 049212627
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049212627
- Status
- Expired (Not Renewed)
- First issued
- August 2, 2012
- Expired
- March 31, 2021
- License holder
- Nickalaus Wt Black
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/26/2020
Contact
Vienna, IL 62995
Williamson County