JAN M CLARK - Pharmacist License in Illinois | # 049091916

JAN M CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091916

License Status

NOT RENEWED

Business

N

First Name

JAN M

Last Name

CLARK

Business Name

JAN M CLARK

Original Issue Date

12/22/1989

Effective Date

12/22/1989

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005