Blaise Fosanoh

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049266805

Status

Expired (Not Renewed)

First issued

July 22, 2019

Expired

September 30, 2020

License holder

Blaise Fosanoh

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

07/22/2019

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