KENNETH JOSEPH BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222555

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

JOSEPH

Last Name

BLACK

Business Name

KENNETH JOSEPH BLACK

Original Issue Date

12/18/2013

Effective Date

01/12/2015

Expiration Date

03/31/2016

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016