LEJUAN SHANTE CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161796

License Status

NOT RENEWED

Business

First Name

LEJUAN

Middle

SHANTE

Last Name

CLARK

Business Name

LEJUAN SHANTE CLARK

Original Issue Date

06/21/2005

Effective Date

04/07/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017