Brandon Tyler Blom
ExpiredIllinois license 049247500
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049247500
- Status
- Expired (Not Renewed)
- First issued
- January 3, 2017
- Expired
- March 31, 2018
- License holder
- Brandon Tyler Blom
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/03/2017
Contact
Rantoul, IL 61866
Champaign County