PATRICIA BLACK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056599

License Status

CANCELLED

Business

First Name

PATRICIA

Last Name

BLACK

Business Name

PATRICIA BLACK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

RIVERGROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005