DELLA M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099195

License Status

NOT RENEWED

Business

First Name

DELLA M

Last Name

CLARK

Business Name

DELLA M CLARK

Original Issue Date

01/25/1992

Effective Date

01/25/1992

Expiration Date

03/31/1993

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005