LYNN M BLACK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051292162

License Status

INACTIVE

Business

First Name

LYNN

Middle

Last Name

BLACK

Business Name

LYNN M BLACK

Original Issue Date

09/25/2007

Effective Date

03/08/2022

Expiration Date

03/31/2024

City

TAMPA

State

Zip

33602

Ever Disciplined

LastModifiedDate

02/23/2024