JENNIFER ANN CLARK - Pharmacist License in Illinois | # 049113552

JENNIFER ANN CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113552

License Status

NOT RENEWED

Business

N

First Name

JENNIFER ANN

Last Name

CLARK

Business Name

JENNIFER ANN CLARK

Original Issue Date

03/02/1996

Effective Date

03/02/1996

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005