GEORGIA T CLARK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123361

License Status

INACTIVE

Business

First Name

GEORGIA

Middle

Last Name

CLARK

Business Name

GEORGIA T CLARK

Original Issue Date

10/22/1998

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

01/10/2008