KATHY L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062992

License Status

NOT RENEWED

Business

First Name

KATHY L

Last Name

CLARK

Business Name

KATHY L CLARK

Original Issue Date

02/21/1975

Effective Date

02/21/1975

Expiration Date

03/31/1990

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005