KENNETH JOSEPH BLACK - Pharmacist License in Illinois | # 049222555

KENNETH JOSEPH BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222555

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016