KEVIN EUGENE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122120

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

EUGENE

Last Name

CLARK

Business Name

KEVIN EUGENE CLARK

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

03/31/2000

City

PARK CITY

State

Zip

60085

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005