DAVID CLARK - Pharmacist License in Illinois | # 049057847

DAVID CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057847

License Status

NOT RENEWED

Business

N

First Name

DAVID

Last Name

CLARK

Business Name

DAVID CLARK

Original Issue Date

06/10/1972

Effective Date

06/10/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005