CHERYL S CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065948

License Status

NOT RENEWED

Business

First Name

CHERYL S

Last Name

CLARK

Business Name

CHERYL S CLARK

Original Issue Date

08/20/1976

Effective Date

08/20/1976

Expiration Date

01/01/1997

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005