GINA S CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088377

License Status

NOT RENEWED

Business

First Name

GINA S

Last Name

CLARK

Business Name

GINA S CLARK

Original Issue Date

11/23/1988

Effective Date

11/23/1988

Expiration Date

03/31/1991

City

WILMINGTON

State

Zip

60481

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005