THOMAS W BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051014867

License Status

NOT RENEWED

Business

First Name

THOMAS W

Last Name

BLACK

Business Name

THOMAS W BLACK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005