Blake A Wentworth
ExpiredIllinois license 049243333
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049243333
- Status
- Expired (Not Renewed)
- First issued
- July 18, 2016
- Expired
- March 31, 2021
- License holder
- Blake A Wentworth
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/13/2020
Contact
Metropolis, IL 62960
Massac County