JAMES DONAVAN BLACK - Pharmacist License in Illinois | # 049117603

JAMES DONAVAN BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117603

License Status

NOT RENEWED

Business

N

First Name

JAMES

Middle

DONAVAN

Last Name

BLACK

Business Name

JAMES DONAVAN BLACK

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005