MADISON D BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183946

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

Last Name

BLACK

Prefix

Business Name

MADISON D BLACK

Original Issue Date

04/29/2008

Effective Date

04/29/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009