KATHY ANN CLARK - Pharmacist License in Illinois | # 049112787

KATHY ANN CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112787

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005