WILLIE A BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115385

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005