ROD A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094663

License Status

NOT RENEWED

Business

First Name

ROD A

Last Name

CLARK

Business Name

ROD A CLARK

Original Issue Date

10/06/1990

Effective Date

10/06/1990

Expiration Date

03/31/2005

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005