BRENDA MARY BLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032799

License Status

NOT RENEWED

Business

First Name

BRENDA MARY

Last Name

BLACK

Business Name

BRENDA MARY BLACK

Original Issue Date

08/07/1979

Effective Date

08/07/1979

Expiration Date

03/31/1988

City

NOBLESVILLE

State

Zip

46060

County

INDIANA

Ever Disciplined

LastModifiedDate

06/19/2007