Kenneth Blake
ExpiredIllinois license 049235148
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049235148
- Status
- Expired (Not Renewed)
- First issued
- July 31, 2015
- Expired
- March 31, 2016
- License holder
- Kenneth Blake
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/31/2015
Contact
Chicago, IL 60652
Cook County