DUSTIN CLARK THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147569

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

CLARK

Last Name

THOMAS

Business Name

DUSTIN CLARK THOMAS

Original Issue Date

03/21/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/02/2008