MARY BETH CLARK - Pharmacist License in Illinois | # 049059546

MARY BETH CLARK

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059546

License Status

CANCELLED

Business

N

First Name

MARY BETH

Last Name

CLARK

Business Name

MARY BETH CLARK

Original Issue Date

05/24/1973

Effective Date

05/24/1973

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005