RAYMOND T BLACK II - Pharmacist License in Illinois | # 049144875

RAYMOND T BLACK II

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144875

License Status

NOT RENEWED

Business

N

First Name

RAYMOND

Middle

T

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005