TERENCE W CLARK - Pharmacist License in Illinois | # 049122492

TERENCE W CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122492

License Status

NOT RENEWED

Business

N

First Name

TERENCE

Middle

W

Last Name

CLARK

Business Name

TERENCE W CLARK

Original Issue Date

08/19/1998

Effective Date

08/19/1998

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005