SARA BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228665

License Status

NOT RENEWED

Business

First Name

SARA

Last Name

BLACK

Business Name

SARA BLACK

Original Issue Date

10/20/2014

Effective Date

04/01/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017