SARAH J BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192070

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

BLACK

Business Name

SARAH J BLACK

Original Issue Date

06/01/2009

Effective Date

06/01/2009

Expiration Date

03/31/2010

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010