GRAYDON MIKE CLARK - Pharmacist License in Illinois | # 049118301

GRAYDON MIKE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118301

License Status

NOT RENEWED

Business

N

First Name

GRAYDON

Middle

MIKE

Last Name

CLARK

Business Name

GRAYDON MIKE CLARK

Original Issue Date

07/29/1997

Effective Date

07/29/1997

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005