RONALD ROGERS CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113125

License Status

NOT RENEWED

Business

First Name

RONALD ROGERS

Last Name

CLARK

Business Name

RONALD ROGERS CLARK

Original Issue Date

01/29/1996

Effective Date

01/29/1996

Expiration Date

03/31/2003

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005