JORDANNE MICHELLE JOSEPHINE BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260531

License Status

NOT RENEWED

Business

First Name

JORDANNE

Middle

MICHELLE JOSEPHINE

Last Name

BLACK

Business Name

JORDANNE MICHELLE JOSEPHINE BLACK

Original Issue Date

10/10/2018

Effective Date

10/10/2018

Expiration Date

03/31/2019

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/15/2019