RAYMOND T BLACK II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144875

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

Last Name

BLACK II

Business Name

RAYMOND T BLACK II

Original Issue Date

09/27/2002

Effective Date

09/27/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005