THERESA BLACK ELK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049327248

License Status

ACTIVE

Business

First Name

THERESA

Last Name

BLACK ELK

Business Name

THERESA BLACK ELK

Original Issue Date

02/17/2026

Effective Date

02/17/2026

Expiration Date

03/31/2027

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

02/17/2026