GARY W BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080626

License Status

NOT RENEWED

Business

First Name

GARY W

Last Name

BLACK

Business Name

GARY W BLACK

Original Issue Date

01/28/1985

Effective Date

01/28/1985

Expiration Date

03/31/1986

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/01/2018