TAMIKIA L BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157638

License Status

NOT RENEWED

Business

First Name

TAMIKIA

Middle

Last Name

BLACK

Business Name

TAMIKIA L BLACK

Original Issue Date

10/28/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008