CONNIE BETH CLARK - Pharmacist License in Illinois | # 049079157

CONNIE BETH CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079157

License Status

NOT RENEWED

Business

N

First Name

CONNIE BETH

Last Name

CLARK

Business Name

CONNIE BETH CLARK

Original Issue Date

11/03/1983

Effective Date

11/03/1983

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005