CLARK W ODOM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110910

License Status

NOT RENEWED

Business

First Name

CLARK W

Last Name

ODOM

Business Name

CLARK W ODOM

Original Issue Date

06/19/1995

Effective Date

06/19/1995

Expiration Date

03/31/1998

City

MARKHAM

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005