JAY CLARK - Pharmacist License in Illinois | # 049075876

JAY CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075876

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005