ANGIE CLARK - Pharmacist License in Illinois | # 049071741

ANGIE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071741

License Status

NOT RENEWED

Business

N

First Name

ANGIE

Last Name

CLARK

Business Name

ANGIE CLARK

Original Issue Date

08/17/1979

Effective Date

08/17/1979

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005