SHANA M BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223876

License Status

NOT RENEWED

Business

First Name

SHANA

Middle

Last Name

BLACK

Business Name

SHANA M BLACK

Original Issue Date

03/13/2014

Effective Date

03/18/2021

Expiration Date

05/31/2022

City

KEWANEE

State

Zip

61443

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022