CHANTAE RENEE BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186323

License Status

NOT RENEWED

Business

First Name

CHANTAE

Middle

RENEE

Last Name

BLACK

Business Name

CHANTAE RENEE BLACK

Original Issue Date

08/19/2008

Effective Date

03/20/2009

Expiration Date

03/31/2010

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010