AMANDA LEIGH BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118201

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

LEIGH

Last Name

BLACK

Business Name

AMANDA LEIGH BLACK

Original Issue Date

07/21/1997

Effective Date

03/09/2012

Expiration Date

03/31/2013

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013