DAVID CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057847

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005