DEBORAH K CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069449

License Status

NOT RENEWED

Business

First Name

DEBORAH K

Last Name

CLARK

Business Name

DEBORAH K CLARK

Original Issue Date

06/02/1978

Effective Date

06/02/1978

Expiration Date

01/01/1997

City

BONDVILLE

State

Zip

61815

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005