JACQUELINE M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093440

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

CLARK

Business Name

JACQUELINE M CLARK

Original Issue Date

06/23/1990

Effective Date

06/23/1990

Expiration Date

03/31/1994

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005