PATTI L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080907

License Status

NOT RENEWED

Business

First Name

PATTI L

Last Name

CLARK

Business Name

PATTI L CLARK

Original Issue Date

03/22/1985

Effective Date

03/22/1985

Expiration Date

03/31/1988

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005