COLLEEN M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087291

License Status

NOT RENEWED

Business

First Name

COLLEEN M

Last Name

CLARK

Business Name

COLLEEN M CLARK

Original Issue Date

07/16/1988

Effective Date

07/16/1988

Expiration Date

03/31/1989

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005