DERRICKA D BLACK - Pharmacist License in Illinois | # 049230563

DERRICKA D BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230563

License Status

NOT RENEWED

Business

N

First Name

DERRICKA

Middle

D

Last Name

BLACK

Business Name

DERRICKA D BLACK

Original Issue Date

01/15/2015

Effective Date

01/15/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016