CARRIE K BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290322

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

BLACK

Business Name

CARRIE K BLACK

Original Issue Date

12/20/2004

Effective Date

03/05/2018

Expiration Date

09/30/2020

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021