Blake Malik Mack
ExpiredIllinois license 049261781
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049261781
- Status
- Expired (Not Renewed)
- First issued
- December 3, 2018
- Expired
- March 31, 2021
- License holder
- Blake Malik Mack
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/14/2020
Contact
Sun River Terrace, IL 60964
Kankakee County