DARIN L BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177235

License Status

NOT RENEWED

Business

First Name

DARIN

Middle

Last Name

BLACK

Business Name

DARIN L BLACK

Original Issue Date

06/20/2007

Effective Date

03/04/2009

Expiration Date

03/31/2010

City

ENFIELD

State

Zip

62835

County

WHITE

Ever Disciplined

LastModifiedDate

05/04/2010