RUSSELL ALAN CLARK - Pharmacist License in Illinois | # 049113877

RUSSELL ALAN CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113877

License Status

NOT RENEWED

Business

N

First Name

RUSSELL ALAN

Last Name

CLARK

Business Name

RUSSELL ALAN CLARK

Original Issue Date

04/01/1996

Effective Date

04/01/1996

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005