SANDRA ANN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124869

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007