NICHOLE T CLARK - Pharmacist License in Illinois | # 049158947

NICHOLE T CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158947

License Status

NOT RENEWED

Business

N

First Name

NICHOLE

Middle

T

Last Name

CLARK

Business Name

NICHOLE T CLARK

Original Issue Date

01/26/2005

Effective Date

04/18/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012