RICHARD LEE BLACK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071016

License Status

CANCELLED

Business

First Name

RICHARD LEE

Last Name

BLACK

Business Name

RICHARD LEE BLACK

Original Issue Date

04/20/1979

Effective Date

04/20/1979

Expiration Date

01/01/1997

City

ST LOUIS

State

Zip

63121

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005