MARILYN A BLACK - Pharmacist License in Illinois | # 049210713

MARILYN A BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210713

License Status

NOT RENEWED

Business

N

First Name

MARILYN

Middle

A

Last Name

BLACK

Prefix

MR

Business Name

MARILYN A BLACK

Original Issue Date

04/30/2012

Effective Date

03/18/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014