CHARLES A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102175

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

CLARK

Business Name

CHARLES A CLARK

Original Issue Date

01/13/1993

Effective Date

01/13/1993

Expiration Date

03/31/1994

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005