JUSTINE L BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169271

License Status

NOT RENEWED

Business

First Name

JUSTINE

Middle

Last Name

BLACK

Business Name

JUSTINE L BLACK

Original Issue Date

06/13/2006

Effective Date

06/13/2006

Expiration Date

03/31/2007

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

05/14/2007