TIMA M CLARK - Pharmacist License in Illinois | # 049112674

TIMA M CLARK

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112674

License Status

INACTIVE

Business

N

First Name

TIMA M

Last Name

CLARK

Business Name

TIMA M CLARK

Original Issue Date

12/06/1995

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/06/2009