TAMIKIA L BLACK - Pharmacist License in Illinois | # 049157638

TAMIKIA L BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157638

License Status

NOT RENEWED

Business

N

First Name

TAMIKIA

Middle

L

Last Name

BLACK

Business Name

TAMIKIA L BLACK

Original Issue Date

10/28/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008