AUDRA KAYE CLARK - Pharmacist License in Illinois | # 049117468

AUDRA KAYE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117468

License Status

NOT RENEWED

Business

N

First Name

AUDRA

Middle

KAYE

Last Name

CLARK

Business Name

AUDRA KAYE CLARK

Original Issue Date

05/05/1997

Effective Date

12/17/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/14/2015