JEAN ANN BLACK - Pharmacist License in Illinois | # 049117312

JEAN ANN BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117312

License Status

NOT RENEWED

Business

N

First Name

JEAN ANN

Last Name

BLACK

Business Name

JEAN ANN BLACK

Original Issue Date

04/21/1997

Effective Date

04/21/1997

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005