JACQUE LYNN CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148901

License Status

NOT RENEWED

Business

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

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2015