PHYLLIS ELAINE CLARK - Pharmacist License in Illinois | # 049149156

PHYLLIS ELAINE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149156

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Middle

ELAINE

Last Name

CLARK

Business Name

PHYLLIS ELAINE CLARK

Original Issue Date

06/24/2003

Effective Date

01/17/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014