OLIVIA S BLACK - Pharmacist License in Illinois | # 049197644

OLIVIA S BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197644

License Status

NOT RENEWED

Business

N

First Name

OLIVIA

Middle

S

Last Name

BLACK

Prefix

MR

Business Name

OLIVIA S BLACK

Original Issue Date

04/04/2010

Effective Date

03/15/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012