JACQUELINE RENEE CLARK - Pharmacist License in Illinois | # 049116884

JACQUELINE RENEE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116884

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

RENEE

Last Name

CLARK

Business Name

JACQUELINE RENEE CLARK

Original Issue Date

03/20/1997

Effective Date

02/15/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019