Victoria Jade Blackport
ExpiredIllinois license 049246616
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049246616
- Status
- Expired (Not Renewed)
- First issued
- November 28, 2016
- Expired
- May 31, 2022
- License holder
- Victoria Jade Blackport
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/25/2021
Contact
Macomb, IL 61455
McDonough County