TYLER LEE BLACK - Pharmacist License in Illinois | # 049311256

TYLER LEE BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049311256

License Status

NOT RENEWED

Business

N

First Name

TYLER

Middle

LEE

Last Name

BLACK

Business Name

TYLER LEE BLACK

Original Issue Date

04/09/2024

Effective Date

04/09/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025