JEAN ANN BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117312

License Status

NOT RENEWED

Business

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

City

BELLEVILLE

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005