KATHY L CLARK - Pharmacist License in Illinois | # 049062992

KATHY L CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062992

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005