CHAD ALAN BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165999

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

ALAN

Last Name

BLACK

Business Name

CHAD ALAN BLACK

Original Issue Date

01/09/2006

Effective Date

01/09/2006

Expiration Date

03/31/2007

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

05/14/2007