JAY CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075876

License Status

NOT RENEWED

Business

First Name

JAY

Last Name

CLARK

Business Name

JAY CLARK

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005