GARY C CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064121

License Status

NOT RENEWED

Business

First Name

GARY C

Last Name

CLARK

Business Name

GARY C CLARK

Original Issue Date

09/05/1975

Effective Date

09/05/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005