CARRIE K BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137878

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

BLACK

Business Name

CARRIE K BLACK

Original Issue Date

08/30/2001

Effective Date

08/30/2001

Expiration Date

03/31/2005

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005