DERRICKA D BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230563

License Status

NOT RENEWED

Business

First Name

DERRICKA

Middle

Last Name

BLACK

Business Name

DERRICKA D BLACK

Original Issue Date

01/15/2015

Effective Date

01/15/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016