DE ELLA L CLARK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071385

License Status

CANCELLED

Business

First Name

DE ELLA L

Last Name

CLARK

Business Name

DE ELLA L CLARK

Original Issue Date

06/22/1979

Effective Date

06/22/1979

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005