BRIANA L BLACK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176370

License Status

INACTIVE

Business

First Name

BRIANA

Middle

Last Name

BLACK

Business Name

BRIANA L BLACK

Original Issue Date

05/16/2007

Effective Date

03/25/2013

Expiration Date

03/31/2014

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/09/2014