KIMBERLEE M BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202118

License Status

NOT RENEWED

Business

First Name

KIMBERLEE

Middle

Last Name

BLACK

Business Name

KIMBERLEE M BLACK

Original Issue Date

01/03/2011

Effective Date

01/03/2011

Expiration Date

03/31/2012

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012