MICHAEL F CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108911

License Status

NOT RENEWED

Business

First Name

MICHAEL F

Last Name

CLARK

Business Name

MICHAEL F CLARK

Original Issue Date

11/28/1994

Effective Date

11/28/1994

Expiration Date

03/31/1996

City

WONDER LAKE

State

Zip

60097

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005