Stephan Blake

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049229621

Status

Expired (Not Renewed)

First issued

November 30, 2014

Expired

March 31, 2015

License holder

Stephan Blake

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

11/30/2014

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