DONQUALIS ANTWAN BLACK - Pharmacist License in Illinois | # 049298623

DONQUALIS ANTWAN BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298623

License Status

NOT RENEWED

Business

N

First Name

DONQUALIS

Middle

ANTWAN

Last Name

BLACK

Business Name

DONQUALIS ANTWAN BLACK

Original Issue Date

12/20/2022

Effective Date

04/10/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

03/26/2026