AMANDA LEIGH BLACK - Pharmacist License in Illinois | # 049118201

AMANDA LEIGH BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118201

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013