KEVIN BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114763

License Status

NOT RENEWED

Business

First Name

KEVIN

Last Name

BLACK

Business Name

KEVIN BLACK

Original Issue Date

08/09/1994

Effective Date

02/01/2012

Expiration Date

03/31/2013

City

RICHTON PARK

State

Zip

60471

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013