CHANTEL CLARA BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235559

License Status

NOT RENEWED

Business

First Name

CHANTEL

Middle

CLARA

Last Name

BLACK

Business Name

CHANTEL CLARA BLACK

Original Issue Date

08/17/2015

Effective Date

03/18/2022

Expiration Date

03/31/2023

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023