SHAUNTAYE D CLARK - Pharmacist License in Illinois | # 049142109

SHAUNTAYE D CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142109

License Status

NOT RENEWED

Business

N

First Name

SHAUNTAYE

Middle

D

Last Name

CLARK

Business Name

SHAUNTAYE D CLARK

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005