ALVITA CARISSA CLARK - Pharmacist License in Illinois | # 049167670

ALVITA CARISSA CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167670

License Status

NOT RENEWED

Business

N

First Name

ALVITA

Middle

CARISSA

Last Name

CLARK

Business Name

ALVITA CARISSA CLARK

Original Issue Date

04/11/2006

Effective Date

04/07/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021