PATRICIA A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125296

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

CLARK

Business Name

PATRICIA A CLARK

Original Issue Date

04/02/1999

Effective Date

03/11/2020

Expiration Date

03/31/2021

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021