LATASHA CLARK - Pharmacist License in Illinois | # 049162186

LATASHA CLARK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162186

License Status

NOT RENEWED

Business

N

First Name

LATASHA

Last Name

CLARK

Business Name

LATASHA CLARK

Original Issue Date

07/12/2005

Effective Date

03/24/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010