BILLY J CLARK - Pharmacist License in Illinois | # 049053091

BILLY J CLARK

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053091

License Status

CANCELLED

Business

N

First Name

BILLY J

Last Name

CLARK

Business Name

BILLY J CLARK

Original Issue Date

01/02/1968

Effective Date

01/02/1968

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005