ERIC L BLACK Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289473

License Status

ACTIVE

Business

First Name

ERIC

Middle

Last Name

BLACK

Business Name

ERIC L BLACK

Original Issue Date

07/24/2003

Effective Date

02/03/2026

Expiration Date

03/31/2028

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

02/03/2026