DOUGLAS LEE CLARK - Pharmacist License in Illinois | # 049055206

DOUGLAS LEE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055206

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS LEE

Last Name

CLARK

Business Name

DOUGLAS LEE CLARK

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005