MARILYN A BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210713

License Status

NOT RENEWED

Business

First Name

MARILYN

Middle

Last Name

BLACK

Prefix

Business Name

MARILYN A BLACK

Original Issue Date

04/30/2012

Effective Date

03/18/2013

Expiration Date

03/31/2014

City

HAMPSHIRE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2014