Isaiah Frederick Blackburn
ExpiredIllinois license 049253413
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049253413
- Status
- Expired (Not Renewed)
- First issued
- September 27, 2017
- Expired
- March 31, 2021
- License holder
- Isaiah Frederick Blackburn
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/09/2020
Contact
Edwardsville, IL 62025
Madison County