CARRIE K BLACK - Pharmacist License in Illinois | # 049137878

CARRIE K BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137878

License Status

NOT RENEWED

Business

N

First Name

CARRIE

Middle

K

Last Name

BLACK

Business Name

CARRIE K BLACK

Original Issue Date

08/30/2001

Effective Date

08/30/2001

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005