JA'SHAE CLARK - Pharmacist License in Illinois | # 049160494

JA'SHAE CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160494

License Status

NOT RENEWED

Business

N

First Name

JA'SHAE

Last Name

CLARK

Business Name

JA'SHAE CLARK

Original Issue Date

04/21/2005

Effective Date

06/04/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011