JONATHAN W BLACK - Pharmacist License in Illinois | # 049180802

JONATHAN W BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180802

License Status

NOT RENEWED

Business

N

First Name

JONATHAN

Middle

W

Last Name

BLACK

Business Name

JONATHAN W BLACK

Original Issue Date

11/29/2007

Effective Date

01/14/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015