RYAN S CLARK - Pharmacist License in Illinois | # 049124071

RYAN S CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124071

License Status

NOT RENEWED

Business

N

First Name

RYAN

Middle

S

Last Name

CLARK

Business Name

RYAN S CLARK

Original Issue Date

12/08/1998

Effective Date

12/08/1998

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005