Blake Michael Lacey
ExpiredIllinois license 049268872
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049268872
- Status
- Expired (Not Renewed)
- First issued
- October 28, 2019
- Expired
- March 31, 2021
- License holder
- Blake Michael Lacey
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/30/2020
Contact
Morton, IL 61550
Tazewell County