Last Updated: 5/18/2024 5:22:36 AM
Pharmacist Detail
Name |
KEVIN R. BLACK |
Type |
Doctor of Pharmacy |
Number |
9717 |
Class |
Active |
City, State, Zip |
LOCUST GROVE,OK 74352 |
Status |
CANCELED |
Issue Date |
02/01/1980 |
Renewed Date |
09/28/2021 |
Expire Date |
10/31/2022 |
End Date |
11/30/2022 |
Preceptor? |
No |
Immunization? |
No |
Disciplinary
Action
Click on any of the Underlined headings to sort by that
column.
Case Date | Case Number |
11/20/2008 | 890 |
11/20/2010 | 890 |
06/12/2002 | 627 |
Contact Board for more information. | |