SUSAN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065289

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

CLARK

Business Name

SUSAN CLARK

Original Issue Date

05/07/1976

Effective Date

05/07/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005