ELOISE J BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151243

License Status

NOT RENEWED

Business

First Name

ELOISE

Middle

Last Name

BLACK

Business Name

ELOISE J BLACK

Original Issue Date

10/01/2003

Effective Date

10/01/2003

Expiration Date

03/31/2004

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005