License holder summary

Phillip S Black is a Pharmacist licensed to practice in Indiana. The address on file for Phillip S Black is Dayton OH 45440. This licensed professional license is not current. The license was granted 10/29/1974 and expired on 06/30/2014.

Indiana

Professional Licensing Agency

Phillip S Black
Pharmacist
License number
26013218A
Date granted
10/29/1974
Date expires
06/30/2014
Class
Pharmacist
Status
Expired
Address
Dayton OH 45440
indianalicensing.org
ID 8291236
LAST UPDATED 2024-03-12 09:01:59 UTC

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