BRENDA J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069545

License Status

NOT RENEWED

Business

First Name

BRENDA J

Last Name

CLARK

Business Name

BRENDA J CLARK

Original Issue Date

06/16/1978

Effective Date

06/16/1978

Expiration Date

03/31/1984

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005