TABITHA Y CLARK - Pharmacist License in Illinois | # 049113723

TABITHA Y CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113723

License Status

NOT RENEWED

Business

N

First Name

TABITHA Y

Last Name

CLARK

Business Name

TABITHA Y CLARK

Original Issue Date

03/20/1996

Effective Date

03/20/1996

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005