JAN CLARK DETKE - Pharmacist License in Illinois | # 049072891

JAN CLARK DETKE

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072891

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005