JENNIFER A BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096489

License Status

NOT RENEWED

Business

First Name

JENNIFER A

Last Name

BLACK

Business Name

JENNIFER A BLACK

Original Issue Date

04/09/1991

Effective Date

04/09/1991

Expiration Date

03/31/1992

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2018