SHIRLEY J BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068008

License Status

NOT RENEWED

Business

First Name

SHIRLEY J

Last Name

BLACK

Business Name

SHIRLEY J BLACK

Original Issue Date

09/02/1977

Effective Date

09/02/1977

Expiration Date

01/01/1997

City

GEORGETOWN

State

Zip

61846

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005