Blake Nathaniel Lewis
ExpiredIllinois license 049262488
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049262488
- Status
- Expired (Not Renewed)
- First issued
- December 31, 2018
- Expired
- March 31, 2024
- License holder
- Blake Nathaniel Lewis
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/30/2023
Contact
Davenport, IA 52804