DOROTHY JEAN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065096

License Status

NOT RENEWED

Business

First Name

DOROTHY JEAN

Last Name

CLARK

Business Name

DOROTHY JEAN CLARK

Original Issue Date

04/02/1976

Effective Date

04/02/1976

Expiration Date

03/31/1984

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005