BRENDA MARY BLACK - Pharmacist License in Indiana | # 051032799

BRENDA MARY BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032799

License Status

NOT RENEWED

Business

N

First Name

BRENDA MARY

Last Name

BLACK

Business Name

BRENDA MARY BLACK

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

03/31/1988

State

IN

Ever Disciplined

N

LastModifiedDate

06/19/2007