DIANNA M BLACK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286735

License Status

INACTIVE

Business

First Name

DIANNA

Middle

Last Name

BLACK

Business Name

DIANNA M BLACK

Original Issue Date

08/24/1998

Effective Date

03/29/2024

Expiration Date

03/31/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/10/2026