HARLEY R CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094622

License Status

NOT RENEWED

Business

First Name

HARLEY R

Last Name

CLARK

Business Name

HARLEY R CLARK

Original Issue Date

10/02/1990

Effective Date

10/02/1990

Expiration Date

03/31/1991

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1992007838

Action

Refuse To Renew

Discipline Start Date

01/28/1993

Discipline End Date

06/13/1997

Discipline Reason

Defaulted on Illinois Student Assistance loan.