TAYLOR R. BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258161

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

Last Name

BLACK

Business Name

TAYLOR R. BLACK

Original Issue Date

05/24/2018

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

DECATUR

State

Zip

62568

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021