JACQUELINE RENEE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116884

License Status

NOT RENEWED

Business

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

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019