IAN L BLACK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066998

License Status

CANCELLED

Business

First Name

IAN L

Last Name

BLACK

Business Name

IAN L BLACK

Original Issue Date

04/01/1977

Effective Date

04/01/1977

Expiration Date

01/01/1997

City

RICHTON PARK

State

Zip

60471

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005