BRYAN D CLARK - Pharmacist License in Illinois | # 049104333

BRYAN D CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104333

License Status

NOT RENEWED

Business

N

First Name

BRYAN D

Last Name

CLARK

Business Name

BRYAN D CLARK

Original Issue Date

08/23/1993

Effective Date

08/23/1993

Expiration Date

03/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005