LAWRENCE BLACK - Pharmacist License in Illinois | # 049057103

LAWRENCE BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057103

License Status

NOT RENEWED

Business

N

First Name

LAWRENCE

Last Name

BLACK

Business Name

LAWRENCE BLACK

Original Issue Date

11/30/1971

Effective Date

11/30/1971

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005