KIMBERLEE M BLACK - Pharmacist License in Illinois | # 049202118

KIMBERLEE M BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202118

License Status

NOT RENEWED

Business

N

First Name

KIMBERLEE

Middle

M

Last Name

BLACK

Business Name

KIMBERLEE M BLACK

Original Issue Date

01/03/2011

Effective Date

01/03/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012