Blayne Taylor Street
ExpiredIllinois license 049258794
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049258794
- Status
- Expired (Not Renewed)
- First issued
- July 11, 2018
- Expired
- March 31, 2019
- License holder
- Blayne Taylor Street
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/11/2018
Contact
Woodhull, IL 61490
Henry County