BRYAN D CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104333

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005