JOEL M BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160795

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

Last Name

BLACK

Business Name

JOEL M BLACK

Original Issue Date

05/05/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/02/2008