RANDALL W CLARK - Pharmacist License in Illinois | # 049099936

RANDALL W CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099936

License Status

NOT RENEWED

Business

N

First Name

RANDALL W

Last Name

CLARK

Business Name

RANDALL W CLARK

Original Issue Date

04/20/1992

Effective Date

04/20/1992

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005