JAN CLARK DETKE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072891

License Status

CANCELLED

Business

First Name

JAN CLARK

Last Name

DETKE

Business Name

JAN CLARK DETKE

Original Issue Date

05/02/1980

Effective Date

05/02/1980

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005