SUSAN P CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071742

License Status

NOT RENEWED

Business

First Name

SUSAN P

Last Name

CLARK

Business Name

SUSAN P CLARK

Original Issue Date

08/17/1979

Effective Date

08/17/1979

Expiration Date

03/31/1984

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005