NATALIE J BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294086

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

Last Name

BLACK

Business Name

NATALIE J BLACK

Original Issue Date

07/13/2022

Effective Date

03/17/2023

Expiration Date

03/31/2024

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

01/03/2025