JESSICA MARIE BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205468

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

MARIE

Last Name

BLACK

Business Name

JESSICA MARIE BLACK

Original Issue Date

07/20/2011

Effective Date

07/20/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012