TIMOTHY PATRICK CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102429

License Status

NOT RENEWED

Business

First Name

TIMOTHY PATRICK

Last Name

CLARK

Business Name

TIMOTHY PATRICK CLARK

Original Issue Date

02/11/1993

Effective Date

02/11/1993

Expiration Date

03/31/1995

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005