HEATHER R BLACK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291707

License Status

INACTIVE

Business

First Name

HEATHER

Middle

Last Name

BLACK

Business Name

HEATHER R BLACK

Original Issue Date

02/28/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

EL PASO

State

Zip

79912

Ever Disciplined

LastModifiedDate

01/05/2010