KATHLEEN M BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111093

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

BLACK

Business Name

KATHLEEN M BLACK

Original Issue Date

07/13/1995

Effective Date

07/13/1995

Expiration Date

03/31/1998

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005