SHONDA T CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113598

License Status

NOT RENEWED

Business

First Name

SHONDA

Middle

Last Name

CLARK

Business Name

SHONDA T CLARK

Original Issue Date

03/06/1996

Effective Date

03/06/1996

Expiration Date

03/31/2004

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005