SEAN WINSTON BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151825

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

WINSTON

Last Name

BLACK

Business Name

SEAN WINSTON BLACK

Original Issue Date

10/22/2003

Effective Date

10/22/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005