STACY CHRISTINE BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143592

License Status

NOT RENEWED

Business

First Name

STACY

Middle

CHRISTINE

Last Name

BLACK

Business Name

STACY CHRISTINE BLACK

Original Issue Date

07/09/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/14/2007