ALLISON R CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146019

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

Last Name

CLARK

Business Name

ALLISON R CLARK

Original Issue Date

11/21/2002

Effective Date

11/21/2002

Expiration Date

03/31/2003

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005