JENNIFER MARIE BLACK - Pharmacist License in Illinois | # 049134350

JENNIFER MARIE BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134350

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

MARIE

Last Name

BLACK

Business Name

JENNIFER MARIE BLACK

Original Issue Date

01/12/2001

Effective Date

01/12/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005