CORAZON J CLARK - Pharmacist License in Illinois | # 049066517

CORAZON J CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066517

License Status

NOT RENEWED

Business

N

First Name

CORAZON J

Last Name

CLARK

Business Name

CORAZON J CLARK

Original Issue Date

12/10/1976

Effective Date

12/10/1976

Expiration Date

03/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005