MARK A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091153

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

CLARK

Business Name

MARK A CLARK

Original Issue Date

09/12/1989

Effective Date

09/12/1989

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005