SANDRA H BLACK - Pharmacist License in Illinois | # 049163795

SANDRA H BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163795

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Middle

H

Last Name

BLACK

Business Name

SANDRA H BLACK

Original Issue Date

09/13/2005

Effective Date

09/13/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006