DONQUALIS ANTWAN BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049298623

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

03/26/2026