CLARK VANKOEVERING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074091

License Status

NOT RENEWED

Business

First Name

CLARK

Last Name

VANKOEVERING

Business Name

CLARK VANKOEVERING

Original Issue Date

01/06/1981

Effective Date

01/06/1981

Expiration Date

03/31/1984

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005