DAVID CLARK LIDECKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059877

License Status

NOT RENEWED

Business

First Name

DAVID CLARK

Last Name

LIDECKA

Business Name

DAVID CLARK LIDECKA

Original Issue Date

07/06/1973

Effective Date

07/06/1973

Expiration Date

03/31/1984

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005