JENNIFER ANN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113552

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005