JAMES DONAVAN BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117603

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005