ROLLAINE MASON BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022419

License Status

NOT RENEWED

Business

First Name

ROLLAINE MASON

Last Name

BLACK

Business Name

ROLLAINE MASON BLACK

Original Issue Date

01/01/1997

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1984000041

Action

Probation

Discipline Start Date

08/12/1986

Discipline End Date

02/12/1988