ROD A CLARK - Pharmacist License in Illinois | # 049094663

ROD A CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094663

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005