ELOISE J BLACK - Pharmacist License in Illinois | # 049151243

ELOISE J BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151243

License Status

NOT RENEWED

Business

N

First Name

ELOISE

Middle

J

Last Name

BLACK

Business Name

ELOISE J BLACK

Original Issue Date

10/01/2003

Effective Date

10/01/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005