DELORES C BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087411

License Status

NOT RENEWED

Business

First Name

DELORES C

Last Name

BLACK

Business Name

DELORES C BLACK

Original Issue Date

07/27/1988

Effective Date

07/27/1988

Expiration Date

03/31/1992

City

MACEDONIA

State

Zip

62860

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/17/2005