BRUCE T CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072754

License Status

NOT RENEWED

Business

First Name

BRUCE T

Last Name

CLARK

Business Name

BRUCE T CLARK

Original Issue Date

04/02/1980

Effective Date

04/02/1980

Expiration Date

01/01/1997

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005