ROBERT E BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077631

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

BLACK

Business Name

ROBERT E BLACK

Original Issue Date

01/10/1983

Effective Date

01/10/1983

Expiration Date

03/31/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005