ANDREA D BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275688

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

BLACK

Business Name

ANDREA D BLACK

Original Issue Date

09/14/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022