CHARLOTTE J CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118274

License Status

NOT RENEWED

Business

First Name

CHARLOTTE

Middle

Last Name

CLARK

Business Name

CHARLOTTE J CLARK

Original Issue Date

07/28/1997

Effective Date

07/28/1997

Expiration Date

03/31/2001

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005