NICOLE L BLACK - Pharmacist License in Illinois | # 049183860

NICOLE L BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183860

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

L

Last Name

BLACK

Business Name

NICOLE L BLACK

Original Issue Date

04/24/2008

Effective Date

03/19/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010