JACQUE LYNN CLARK - Pharmacist License in Illinois | # 049148901

JACQUE LYNN CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148901

License Status

NOT RENEWED

Business

N

First Name

JACQUE

Middle

LYNN

Last Name

CLARK

Business Name

JACQUE LYNN CLARK

Original Issue Date

06/13/2003

Effective Date

02/10/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015