JONATHAN W BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180802

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

BLACK

Business Name

JONATHAN W BLACK

Original Issue Date

11/29/2007

Effective Date

01/14/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015