SANDRA ANN CLARK - Pharmacist License in Illinois | # 049124869

SANDRA ANN CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124869

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Middle

ANN

Last Name

CLARK

Business Name

SANDRA ANN CLARK

Original Issue Date

03/01/1999

Effective Date

07/03/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007