KIMBERLY C CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158594

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

CLARK

Business Name

KIMBERLY C CLARK

Original Issue Date

12/27/2004

Effective Date

12/27/2004

Expiration Date

03/31/2006

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006