NATALIE ALICIA CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119791

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

ALICIA

Last Name

CLARK

Business Name

NATALIE ALICIA CLARK

Original Issue Date

01/12/1998

Effective Date

01/12/1998

Expiration Date

03/31/1999

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005