JEANETTE A BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108406

License Status

NOT RENEWED

Business

First Name

JEANETTE A

Last Name

BLACK

Business Name

JEANETTE A BLACK

Original Issue Date

10/06/1994

Effective Date

10/06/1994

Expiration Date

03/31/1998

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005