KATHY ANN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112787

License Status

NOT RENEWED

Business

First Name

KATHY ANN

Last Name

CLARK

Business Name

KATHY ANN CLARK

Original Issue Date

12/18/1995

Effective Date

12/18/1995

Expiration Date

03/31/1999

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005