OLIVIA S BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197644

License Status

NOT RENEWED

Business

First Name

OLIVIA

Middle

Last Name

BLACK

Prefix

Business Name

OLIVIA S BLACK

Original Issue Date

04/04/2010

Effective Date

03/15/2011

Expiration Date

03/31/2012

City

WOODLAWN

State

Zip

62898

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/07/2012