JENNIFER J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094174

License Status

NOT RENEWED

Business

First Name

JENNIFER J

Last Name

CLARK

Business Name

JENNIFER J CLARK

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

03/31/1991

City

VILLA GROVE

State

Zip

61956

Ever Disciplined

LastModifiedDate

10/17/2005