DAPHNE E BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249670

License Status

NOT RENEWED

Business

First Name

DAPHNE

Middle

Last Name

BLACK

Business Name

DAPHNE E BLACK

Original Issue Date

04/05/2017

Effective Date

04/05/2017

Expiration Date

03/31/2018

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

06/19/2018