LINDA RENAE BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128610

License Status

NOT RENEWED

Business

First Name

LINDA

Middle

RENAE

Last Name

BLACK

Business Name

LINDA RENAE BLACK

Original Issue Date

12/15/1999

Effective Date

02/24/2016

Expiration Date

03/31/2017

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/10/2017