KEVIN SHANE CLARK - Pharmacist License in Illinois | # 049114650

KEVIN SHANE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114650

License Status

NOT RENEWED

Business

N

First Name

KEVIN SHANE

Last Name

CLARK

Business Name

KEVIN SHANE CLARK

Original Issue Date

07/13/1996

Effective Date

07/13/1996

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

11/29/2016