TIESHA REENE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135298

License Status

NOT RENEWED

Business

First Name

TIESHA

Middle

REENE

Last Name

CLARK

Business Name

TIESHA REENE CLARK

Original Issue Date

03/19/2001

Effective Date

03/19/2001

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005