JASON A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150132

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

CLARK

Business Name

JASON A CLARK

Original Issue Date

08/21/2003

Effective Date

08/21/2003

Expiration Date

03/31/2005

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005