CLARENCE HENRY BLACK III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053364

License Status

NOT RENEWED

Business

First Name

CLARENCE HENRY

Last Name

BLACK III

Business Name

CLARENCE HENRY BLACK III

Original Issue Date

01/01/1997

Expiration Date

03/31/1999

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005