REBECCA M CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116790

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

CLARK

Business Name

REBECCA M CLARK

Original Issue Date

03/14/1997

Effective Date

03/14/1997

Expiration Date

03/31/1999

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005