PATRICIA MARIE BLACK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030904

License Status

INACTIVE

Business

First Name

PATRICIA MARIE

Last Name

BLACK

Business Name

PATRICIA MARIE BLACK

Original Issue Date

08/06/1976

Effective Date

02/25/2022

Expiration Date

03/31/2024

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2024