RICHARD LEE BLACK - Pharmacist License in Missouri | # 049071016

RICHARD LEE BLACK

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071016

License Status

CANCELLED

Business

N

First Name

RICHARD LEE

Last Name

BLACK

Business Name

RICHARD LEE BLACK

Original Issue Date

04/20/1979

Effective Date

04/20/1979

Expiration Date

01/01/1997

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005