DANIELLE D CLARK - Pharmacist License in Illinois | # 049160969

DANIELLE D CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160969

License Status

NOT RENEWED

Business

N

First Name

DANIELLE

Middle

D

Last Name

CLARK

Business Name

DANIELLE D CLARK

Original Issue Date

05/12/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008