WILLIE A BLACK - Pharmacist License in Illinois | # 049115385

WILLIE A BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115385

License Status

NOT RENEWED

Business

N

First Name

WILLIE A

Last Name

BLACK

Business Name

WILLIE A BLACK

Original Issue Date

09/26/1996

Effective Date

09/26/1996

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005