GERI A BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157216

License Status

NOT RENEWED

Business

First Name

GERI

Middle

Last Name

BLACK

Business Name

GERI A BLACK

Original Issue Date

09/24/2004

Effective Date

03/13/2019

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

01/08/2021