MYSHA ANGELIQUE BLACK - Pharmacist License in Illinois | # 049288824

MYSHA ANGELIQUE BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288824

License Status

NOT RENEWED

Business

N

First Name

MYSHA

Middle

ANGELIQUE

Last Name

BLACK

Business Name

MYSHA ANGELIQUE BLACK

Original Issue Date

12/15/2021

Effective Date

12/15/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022