MYSHA ANGELIQUE BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288824

License Status

NOT RENEWED

Business

First Name

MYSHA

Middle

ANGELIQUE

Last Name

BLACK

Business Name

MYSHA ANGELIQUE BLACK

Original Issue Date

12/15/2021

Effective Date

12/15/2021

Expiration Date

05/31/2022

City

MARKHAM

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022