LAURA A CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162667

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

CLARK

Business Name

LAURA A CLARK

Original Issue Date

08/02/2005

Effective Date

02/20/2009

Expiration Date

03/31/2010

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010