TABITHA Y CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113723

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005