CLARK A GOMES - Pharmacist License in Illinois | # 049115792

CLARK A GOMES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115792

License Status

NOT RENEWED

Business

N

First Name

CLARK

Middle

A

Last Name

GOMES

Business Name

CLARK A GOMES

Original Issue Date

10/30/1996

Effective Date

10/30/1996

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005