Dominisha Blake
ExpiredIllinois license 049247125
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049247125
- Status
- Expired (Not Renewed)
- First issued
- December 15, 2016
- Expired
- March 31, 2018
- License holder
- Dominisha Blake
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/03/2017
Contact
Waukegan, IL 60085
Lake County