SHAVON A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076574

License Status

NOT RENEWED

Business

First Name

SHAVON A

Last Name

CLARK

Business Name

SHAVON A CLARK

Original Issue Date

06/22/1982

Effective Date

06/22/1982

Expiration Date

03/31/1987

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005