CARRIE K BLACK - Pharmacist License in Illinois | # 051290322

CARRIE K BLACK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290322

License Status

NOT RENEWED

Business

N

First Name

CARRIE

Middle

K

Last Name

BLACK

Business Name

CARRIE K BLACK

Original Issue Date

12/20/2004

Effective Date

03/05/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021