TRACY L CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097191

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

CLARK

Business Name

TRACY L CLARK

Original Issue Date

06/17/1991

Effective Date

06/17/1991

Expiration Date

03/31/1992

City

HOMER

State

Zip

61849

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005